RCM Supervisor - SA

The Supervisor of Payment Compliance is a vital role within OMH Healthedge Holdings Inc, providing expertise and guidance in revenue cycle management and payor reimbursement. This position leads a team, offering support and direction to administrative and managerial staff across the organization. A key focus is on contract proposal analysis and payor projects, ensuring optimal reimbursement strategies. Additionally, the Supervisor oversees payment accuracy and resolution, working closely with payors to address any issues. This role is instrumental in maintaining strong payor relationships and ensuring the overall accuracy of claims processing, a critical aspect of the organization's financial health.

Responsibilities

• Provide leadership and expertise in revenue cycle management and payor reimbursement strategies.
• Analyze contract proposals and collaborate on payor projects for optimal reimbursement.
• Oversee the accuracy of payments received from all payors and resolve any payment issues.
• Manage relationships with payors, ensuring a collaborative approach to claims processing accuracy.
• Schedule and lead meetings with payors to discuss payment-related matters and track issues to resolution.
• Escalate complex payment issues to Payor Innovations for further assistance and resolution.
• Stay updated with industry trends and regulations, ensuring compliance in revenue cycle management.
• Mentor and develop team members, fostering a culture of continuous improvement and expertise.
• Collaborate with system services and affiliates to align on payment compliance and revenue cycle goals.
• Ensure timely and accurate reporting on payment compliance and revenue cycle performance.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Minimum of 5 years of experience in revenue cycle management or a similar role.
• Proven leadership and management experience, with a track record of successful team development.
• Strong analytical skills with the ability to interpret data and make informed decisions.
• Excellent communication and interpersonal skills, with the ability to build positive relationships.
• Proficiency in Microsoft Office suite, especially Excel, for data analysis and reporting.
• Knowledge of healthcare regulations and compliance standards, particularly related to revenue cycle.
• Ability to work independently and manage multiple projects simultaneously.
• Strong problem-solving skills and a proactive approach to issue resolution.
• Willingness to stay updated with industry trends and best practices in revenue cycle management.

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [email protected].