RCM Reimbursement Supervisor

About the Role

The RCM Reimbursement Supervisor oversees billing, collections, and reimbursement operations within the revenue cycle, ensuring compliance with HIPAA, Medicare/Medicaid, private payor, and regulatory requirements. This role supervises internal teams and external vendors, optimizes collections, reduces denials, and meets key performance indicators such as cash goals, aging, quality, and productivity. The Supervisor also plays a key role in team training, operational improvements, and technology utilization to enhance efficiency and compliance.

Responsibilities

• Leadership & Team Management:
  • Supervise and support billing and collections teams, including vendor liaisons, to ensure efficient workflow and timely account resolution.
  • Train and onboard new team members; monitor performance and provide ongoing coaching and development.
  • Ensure adherence to departmental policies, HIPAA and PHI regulations, and corporate compliance standards.
  • Promote a positive team culture by encouraging individual growth, accountability, and cross-functional collaboration.
  • Act as point of contact for internal and external stakeholders for escalations, inquiries, and operational issues.
  • Lead and participate in operational projects, system upgrades, and departmental initiatives.
  • Facilitate best practice sharing across departments and assist leadership in implementing constructive changes.
• Revenue Cycle Oversight:
  • Oversee billing, collections, and reimbursement functions, including claim submissions, payment posting, denial management, and patient responsibility determinations.
  • Review and resolve claim rejections and exceptions; ensure appropriate follow-up on aged accounts and outstanding A/R.
  • Utilize knowledge of payer policies, DME billing guidelines, and coding (ICD, CPT, HCPCS) to ensure clean claim submission and low denial rates.
  • Ensure timely processing of all account correspondence, refunds, adjustments, and re-billing as needed.
  • Manage relationships with external collection vendors, ensuring compliance with contractual obligations and alignment with performance goals.
  • Collaborate with insurance verification, medical records, payment posting, and patient pay teams to support full-cycle resolution.
• Reporting & Analysis:
  • Generate, analyze, and distribute key performance reports on production, inventory, aged accounts, denial trends, and vendor performance.
  • Monitor team productivity and identify areas for process improvement; assist with implementation of new tools and technologies.
  • Use data analysis (including Excel and Power BI) to develop actionable insights and support decision-making.
• Compliance & Quality Assurance:
  • Ensure operations comply with all regulatory guidelines, including HIPAA, Medicare/Medicaid, third-party payors, OSHA, and accrediting agencies.
  • Identify and escalate non-compliant activity; participate in audits and quality assurance reviews.
  • Maintain accurate documentation in billing systems and CRM per company standards.
• Additional Responsibilities:
  • Act as trusted advisor to the Comfort Medical management team on select projects and tasks.
  • Facilitate sharing of operational best practices across departments within the organization.
  • Travel as required for vendor meetings or departmental support.
  • Perform other duties as assigned.

Qualifications

• Basic Qualifications:
  • High School diploma required.
  • Minimum of 5 years of experience in healthcare payor and/or provider settings, with strong functional knowledge in revenue cycle management.
  • Minimum of 4 years of experience in Durable Medical Equipment (DME).
  • At least 4 years’ experience in billing, collections, and payment posting.
  • Strong knowledge of governmental and commercial payors, billing codes (ICD, CPT, HCPCS), EOBs/ERNs, and payer compliance rules.
  • Strong proficiency in Microsoft Excel and Power BI Apps.
  • Excellent communication, leadership, and analytical skills.
  • Ability to work both independently and as part of a team.
• Preferred Qualifications:
  • Bachelor's degree preferred.

Benefits

• Health and Wellness: Comprehensive medical, dental, and vision insurance plans, access to wellness programs, mental health resources, paid leave, and generous paid parental leave.
• Financial Security: Competitive 401(k) plan with immediate vesting, financial planning services, and corporate discount programs.
• Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options.
• Professional Development: Continuous learning opportunities, mentorship, and tuition reimbursement.
• Recognition and Rewards: Peer recognition, bonuses, awards, and special events.
• Community and Culture: Supportive work environment, team-building activities, volunteer opportunities, and company-sponsored events.
• Sustainability: Commitment to running the company in a more sustainable way.

Pay

The compensation range for this position is $81,513 - $122,269. Actual compensation is influenced by factors including skills, experience, qualifications, and geographic location. Hired candidates may be eligible for additional compensation in the form of bonuses and/or incentives.

Comfort Medical is an Equal Employment Opportunity (EEO) employer, committed to employing and promoting individuals based on their merits, regardless of protected characteristics.