Collection Supervisor at Gastromed, LLC – Miami, Florida

JOB TITLE: Collection Supervisor

REPORTS TO: Revenue Cycle Manager

FLSA STATUS: Exempt

JOB SUMMARY:

The Collections Supervisor works under the general supervision of the Revenue Cycle Manager and is responsible for overseeing the day-to-day operations of the collections team for a Gastroenterology medical practice, its affiliated Ambulatory Surgery Center (ASC), and its Anesthesia company. This role ensures timely and accurate follow-up on outstanding patient and insurance balances, supports staff performance, and drives initiatives to reduce accounts receivable and improve overall cash flow in accordance with organizational, state , and federal policies.

QUALIFICATIONS/EDUCATION:

• Minimum 2 years of experience in medical billing and collections
• Minimum 3 years of Management in Healthcare
• CRCS, CPC, CPB, COC, RCMS,CGIC, CCS or AHMA certification, preferred.
• Strong understanding of healthcare billing and collections processes, including insurance follow-up and patient collections.
• Excellent leadership, organizational, and communication skills.
• Experience working in both physician practice and ASC environments is highly desirable.
• Proficiency in revenue cycle management systems and electronic health records (EHR).
• Knowledge of payer regulations and healthcare compliance standards.
• Familiarity with HIPAA, FDCPA, and other relevant compliance standards.
• Proficient Bi-lingual; English/Spanish. Must be able to read, write and speak both languages.
• Moderate computer skills: Microsoft Word and Excel, internet, document with Electronic Health Records, payer portals, send e-faxes and email.

ABILITIES/SKILLS:

• Functions with minimal direct supervision.
• Must be dependable and conduct him/herself in a professional manner.
• Demonstrates skill in use of personal computers, various programs and applications required to competently execute job duties.
• Demonstrates effective management skills.
• Demonstrates ability to establish and maintain effective internal and external working relationships.
• Must demonstrate an above average ability to communicate effectively both orally and in writing.
• Must demonstrate the ability to exercise sound judgment and discretion.
• Must have strong financial management knowledge and experience.
• Must be an effective communicator with strong oral, written and presentation skills.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

• Supervise daily activities of the collections team, ensuring timely follow-up on unpaid claims and patient balances for both the medical office and ASC.
• Monitor accounts receivable aging reports and implement strategies to reduce outstanding balances and improve collection rates.
• Ensure compliance with all applicable regulations, payer guidelines, and internal policies related to collections and patient financial communications.
• Collaborate with billing, coding, and front office teams to resolve claim denials, payment discrepancies, and insurance issues.
• Provide training, coaching, and performance evaluations for collections staff to ensure high productivity and accuracy.
• Develop and maintain collection workflows and procedures tailored to both physician and ASC operations.
• Handle escalated collection issues and coordinate with patients, insurance companies, and third-party collection agencies as needed.
• Prepare and present regular reports on collection performance, trends, and KPIs to leadership.
• Provide a monthly summary of the status of outstanding balances in all over 90 days Accounts Receivable buckets.
• Provide monthly report on the status of credit balances. (Unapplied Credit Analysis Report)
• Monitor gross charges to determine the potential need for an update to the fee schedule on an annual basis. Report findings and recommendations to the director by November each year.
• Ensuring the timeliness of processing and correction of rejected claims.
• Maintain the schedule of monthly patient billing statements in accordance with the company’s Financial Policies and Procedures.
• Establish and maintain a consistent schedule for processing bad debt write-offs, ensuring that all reasonable collection or resubmission efforts are documented prior to removing charges from outstanding receivables. Prepare and submit a comprehensive Bad Debt Write-Off Report to the Manager quarterly.
• Analyze remittance advices to identify recurring issues that may indicate improper collection of insurance information at the point of service. Collaborate with the Manager to implement corrective actions, including staff retraining and process improvements, as needed.
• Must hold all patient Protected Health Information (PHI) and other patient personal information and agency information in confidence, in accordance with the Employee Confidentiality Statement, which you have read, understand and signed.
• Adhere to schedules for work, lunch and breaks.

Performs other duties as assigned by management.