Supervisor, RCM

As the Supervisor, RCM, you will play a crucial role in overseeing and optimizing our insurance verification, referrals, and prior authorizations processes. Your expertise in Epic and insurance workflows will ensure efficient and accurate operations. You will lead a team of specialists, providing guidance, support, and performance management to drive productivity and quality. This role is perfect for an experienced leader with a passion for healthcare revenue cycle management.

• Lead and manage a team of insurance verification, referrals, and prior authorizations specialists.
• Ensure accurate and timely insurance verification, referrals, and prior authorizations processes.
• Monitor and optimize team productivity, quality, and workload distribution.
• Provide coaching, escalation support, and workflow oversight to team members.
• Manage and track SLA/KPI performance, identifying areas for improvement.
• Stay updated on insurance eligibility, referral requirements, and payer guidelines.
• Collaborate with cross-functional teams and clients to ensure smooth operations.
• Implement process improvements and best practices to enhance efficiency.
• Conduct performance evaluations and provide constructive feedback.
• Ensure compliance with regulatory and industry standards.
• Minimum 3+ years of current, hands-on Epic experience is mandatory.
• 2+ years of direct experience in Insurance Verification, Referrals, and/or Prior Authorizations is essential.
• Prior supervisory or leadership experience, preferably in healthcare revenue cycle operations, is required.
• Strong knowledge of insurance eligibility, referral processes, authorization workflows, and payer guidelines.
• Experience managing team productivity, quality assurance, and workload allocation.
• Ability to provide effective coaching, support, and performance management.
• Excellent communication and organizational skills with a client-centric approach.
• Experience working in a high-volume, fast-paced healthcare environment is preferred.
• Strong analytical skills to interpret data and identify process improvements.
• A proactive and results-driven mindset with a passion for healthcare revenue cycle management.