The Front-End Revenue Cycle Supervisor is a working supervisor responsible for overseeing and supporting front-end revenue cycle functions, including coding coordination, charge entry, edit management, and resolution of payer edits and rejections. This role collaborates closely with the Patient A/R and Back-End Revenue Cycle Supervisors and the RCM Manager to ensure clean claims, reduced denials, and accurate data capture at the front end of the billing process. The supervisor actively participates in daily workflows while also monitoring process efficiency and recommending improvements.
Responsibilities include overseeing daily workflows for charge entry, coding coordination, and edit resolution; collaborating with coding and clinical teams to ensure charge accuracy and compliance; reviewing edit and rejection reports; identifying recurring issues and escalating them; serving as a liaison to support documentation improvement and code accuracy.
Works closely with Patient A/R and Back-End Supervisors and the RCM Manager to align workflows, implement changes based on payer policies, denial trends, and compliance findings; participates in cross-departmental workgroups to improve revenue cycle processes.
Monitors payer-specific edit trends, stays current on payer policy changes, recommends and implements system updates and staff training, and tracks denial rates and edit resolution performance.
Supervises front-end revenue cycle staff workflows; supports daily operations, onboarding, training, mentoring; monitors performance; provides feedback; ensures service level goals.
Ensures compliance with payer policies, coding regulations, and documentation standards; audits charge entry and coding activities; documents resolution steps for rejected charges.
Qualifications include an Associate’s degree in Healthcare Administration, Finance, or related field preferred (Bachelor’s preferred) or 3+ years related experience. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification highly desirable.
Requires 3+ years in healthcare revenue cycle management with front-end focus and 1-2 years supervisory experience.
Skills needed: strong understanding of medical terminology, ICD-10, CPT, HCPCS coding, proficiency with EMR and revenue cycle software, excellent analytical, organizational, communication skills, and hands-on supervisory ability.
Physical and mental requirements involve ability to lift and push/pull up to 50 pounds, sit and stand for extended periods, use fine motor skills, follow instructions, and logical reasoning.
Southeast Primary Care Partners is an Equal Opportunity Employer.
- Associate’s degree in Healthcare Administration, Finance, or related field preferred; Bachelor’s preferred
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification highly desirable
- Minimum 3 years experience in healthcare revenue cycle management, focusing on charge entry, coding, or clearing house operations
- 1-2 years supervisory or team lead experience
- Strong knowledge of medical terminology, ICD-10, CPT, HCPCS coding systems
- Proficiency with EMR and revenue cycle/billing software
- Excellent analytical, organizational, communication, and leadership skills
- Ability to lift/push/pull up to 50 pounds and sit/stand for extended periods
Location
Georgia, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 weeks ago