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Care New England · 5 months ago

Supervisor of Professional Billing Accounts Receivable

Warwick, RI

Full-time

Onsite

Mid Level

3+ years exp

Care New England is a trusted health system responsible for optimizing cash flow and ensuring financial stability through effective oversight of billing and accounts receivable. The Supervisor of Professional Billing Accounts Receivable will lead the A/R team, ensuring timely claim submissions and resolving outstanding balances while maintaining compliance with regulations.

AssociationHealth Care

H1B Sponsor Likely

Responsibilities

Supervise the daily operations of the Accounts Receivable (A/R) team, ensuring timely and accurate claim submission, payment posting, follow-up, and resolution of outstanding balances

Monitor aging reports, denial trends, overpayments and underpayments to ensure appropriate and timely follow-up with payers

Oversee workflows for insurance and/or patient A/R, including coordination with financial assistance staff and front-end teams to improve resolution and prevent delays

Ensure adherence to all federal, state, and payer regulations including CMS billing rules, HIPAA, and compliance policies

Support and participate in the implementation and optimization of the Epic system as it relates to A/R workflows and reporting

Identify, track, and analyze denial trends and underpayments; escalate systemic issues and collaborate with internal stakeholders for resolution

Maintain relationships with payer representatives to facilitate escalated claim resolution and stay informed of changes in payer policy

Serve as a liaison between the A/R team and other departments (e.g., Coding, Patient Access, Compliance) to address root causes of denials and ensure cross-functional alignment

Support patient-facing teams in resolving billing inquiries, providing financial guidance, and directing patients to appropriate financial assistance or payment plan resources

Collaborate with financial counselors and customer service representatives to ensure patient balances are addressed empathetically and effectively

Provide day-to-day supervision, support, and guidance to staff to maintain high levels of productivity, accuracy, and customer service

Conduct performance evaluations, identify training needs, and deliver coaching or corrective action as appropriate

Promote a culture of accountability, collaboration, and continuous improvement within the team

Foster employee engagement and professional development by encouraging ownership, transparency, and teamwork

Regularly communicate performance metrics, barriers to resolution, and key issues to the Director of A/R Management

Participate in A/R meetings and workgroups to review trends, monitor KPIs, and recommend operational improvements

Support audits, compliance reviews, and other external or internal reporting requirements

Evaluate existing workflows and recommend enhancements to reduce denials, increase collections, and improve the clean claim rate

Collaborate with Revenue Cycle leadership to support enterprise-wide initiatives and contribute to long-term strategy

Maintain strict confidentiality of patient information in compliance with HIPAA and organizational policies

Perform other related duties and responsibilities as assigned

Qualification

Revenue Cycle ExpertiseClaimsPayer KnowledgeRegulatoryCompliance AwarenessAnalytical ThinkingTechnical ProficiencyLeadership & Staff DevelopmentCommunication & CollaborationPatient Financial ServicesTime Management

Required

Associate's Degree Required; Bachelor's Degree Preferred

Minimum 3 Years Experience

Revenue Cycle Expertise: In-depth understanding of hospital and/or physician revenue cycle operations, including billing, collections, accounts receivable management, denial resolution, and cash flow optimization

Claims and Payer Knowledge: Strong knowledge of third-party payer requirements, including claim submission standards, authorization processes, denial types, and underpayment trends. Ability to interpret and apply payer contracts and reimbursement methodologies (e.g., DRG, APC, fee schedules)

Regulatory and Compliance Awareness: Thorough knowledge of CMS billing guidelines, HIPAA, and other applicable federal, state, and payer-specific compliance requirements. Ability to identify potential risk areas and ensure adherence to billing integrity standards

Patient Financial Services & Customer Support: Familiarity with patient balance resolution processes, financial counseling practices, and financial assistance eligibility guidelines. Ability to engage with patients and internal staff to resolve concerns with empathy and clarity

Analytical Thinking and Problem Solving: Strong analytical skills with the ability to review reports, evaluate denial and aging trends, identify root causes, and recommend solutions. Ability to translate data into actionable process improvements

Leadership & Staff Development: Demonstrated ability to lead, coach, and develop teams. Experience managing performance metrics, setting goals, and providing timely feedback. Skilled in building a team culture focused on accountability, service, and growth

Communication & Collaboration: Excellent verbal and written communication skills with the ability to interact professionally with patients, staff, leadership, and external payers. Must be able to convey complex information clearly and with diplomacy

Technical Proficiency: Proficient in Microsoft Office tools (Excel, Word, Outlook), and familiar with revenue cycle management systems (e.g., Epic, Meditech, or similar). Ability to interpret A/R and denial reports and use technology to drive performance

Time Management & Prioritization: Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy, meeting deadlines, and adapting to shifting organizational needs

Company

Care New England

Care New England (CNE) is a non-profit health system, comprising several hospitals in Rhode Island, including Butler, Women & Infants

Founded in 1996

Providence, Rhode Island, USA

5001-10000 employees

http://www.carenewengland.org

H1B Sponsorship

Care New England has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2024 (3)

2023 (2)