Rcm Jobs in Georgia (NOW HIRING)

Under the direction of the Revenue Cycle Manager and/or Director of Operations, the RCM Supervisor - Back End is responsible for the daily oversight of back-end revenue cycle operations, including claims submission, accounts receivable follow-up, denial management, appeal workflows, payment posting, patient collections, credit balance resolution, and reconciliation support. This role provides leadership, coaching, workflow monitoring, and escalation support to ensure timely, accurate, compliant, and patient-centered revenue cycle performance. Organization, attention to detail, prioritizing, problem solving, and multitasking are necessary to ensure a high level of customer service. Customers include patients, physicians, vendors, payors, clients, and OO staff.

Customer Service - Works well with patients, vendors, physicians, payors, and staff by keeping them informed and promoting a positive image of the company at all times. Exhibits good listening and comprehension; selects and uses appropriate communication methods; looks for ways to improve and promote quality patient care and service.

Teamwork - Accountable to team and departmental goals, works to meet established deliverables, balances team and individual responsibilities, gives and welcomes feedback, and puts success of the team above own interests. Communicates with team members and leadership regarding workflow priorities, patient account concerns, and revenue cycle performance.

Leadership - Provides clear direction, supports staff development, promotes accountability, and models professional behavior. Uses coaching, training, and escalation appropriately to support productivity, quality, and team morale.

Organizational Support - Follows policies and procedures, completes administrative tasks correctly and on time, supports organization goals and values, and maintains patient confidentiality according to HIPAA guidelines.

Dependability - Adheres to the company time and attendance policy. Is punctual, maintains a good attendance record, works independently with little supervision, follows through on commitments, and meets departmental and companywide timelines.

Compliance - Adheres to all company compliance policies, payer guidelines, HIPAA requirements, and applicable state and federal regulations.

Productivity - Prioritizes and plans work activities to ensure completion of daily tasks. Uses time efficiently, plans for additional resources, sets personal goals and objectives to meet departmental goals, and monitors team productivity.

Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current procedures, payer updates, billing requirements, and industry changes that may affect the department or patient service.

Problem Solving - Identifies and resolves problems in a timely manner, gathers and analyzes information skillfully, develops alternative solutions, and escalates issues appropriately when additional support is needed.

Quality - Demonstrates accuracy and thoroughness, monitors own work and team work for errors, and looks for ways to improve and promote quality outcomes.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Ability to read and comprehend instructions, payer correspondence, remittance documents, denial notices, appeal requirements, policies, procedures, and memos. Ability to write professional correspondence, account notes, reports, and escalation summaries. Ability to effectively present information in one-on-one and small group situations to patients, staff, leadership, vendors, and other employees of the organization.

Ability to calculate figures and amounts such as percentages, adjustments, patient balances, contractual allowances, payment rates, denial volumes, collection rates, and productivity metrics.

Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to identify account trends, investigate payer issues, resolve standardized and moderately complex problems, and escalate issues appropriately when additional direction is required.

To perform this job successfully, an individual should have knowledge of Electronic Medical Records (EMR) and practice management systems, preferably Athena. Proficiency with Microsoft Outlook, Word, Excel, Teams, payer portals, clearinghouse tools, scanning, faxing, and general computer navigation is preferred. Intermediate Excel skills, including filtering, sorting, basic formulas, and report review, are strongly preferred.

None required. Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar revenue cycle certification preferred but not required.

The employee is regularly required to sit, use hands, talk, hear, and view computer screens for long periods of time. The employee is occasionally required to stand, walk, stoop, kneel, crouch, or crawl, and may occasionally lift or move up to 30 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

May be required to travel to one or more satellite locations depending on staffing changes.

The noise level in the work environment is usually moderate.