The Billing Supervisor oversees the daily operations of the billing department to ensure accurate and timely billing, collections, coding, denial management, and patient account resolution. This role supervises billing staff and serves as a resource for resolving complex billing issues while supporting organizational goals related to reimbursement, compliance, and customer service.
Key responsibilities include:
- Maintain confidentiality of all health center information in accordance with HIPAA regulations and organizational policies
- Supervise and provide leadership to Billing Specialists and other assigned personnel
- Assist in recruiting, training, onboarding, coaching, and evaluating billing staff
- Work with the Revenue Cycle Manager on staff productivity and performance to ensure departmental goals and expectations are met
- Ensure claims are submitted accurately and timely to all third-party payers
- Oversee insurance follow-up activities and monitor outstanding accounts receivable
- Review and assist with denial management, appeals, claim corrections, and reimbursement issues
- Monitor accounts receivable aging and work with staff to reduce outstanding balances
- Ensure proper payment posting procedures are followed and reconciliations are completed accurately
- Assist in maintaining fee schedules, coding updates, and billing guidelines
- Ensure compliance with federal, state, payer, and organizational billing requirements
- Review reports related to charges, claims, denials, collections, and accounts receivable with the billing team for improvements
- Identify trends affecting revenue cycle performance and recommend corrective action plans
- Collaborate with Patient Service Representatives, clinical staff, providers, and management to resolve patient account and billing concerns
- Respond to patient inquiries regarding billing, insurance coverage, and financial responsibility
- Serve as a department resource for electronic health record and practice management system issues related to billing and revenue cycle functions
- Help develop and maintain department workflows, policies, and procedures
- Provide coverage and support during staff absences as needed
- Prepare and present department performance metrics to the Revenue Cycle Manager
- Work with the Revenue Cycle Manager to identify opportunities to improve reimbursement, reduce denials, and increase operational efficiency
- Maintain professional relationships with insurance representatives and external vendors
- Ensure sliding fees are followed and calculated, posted, and adjudicated correctly
- Responsible for timely refund of account overpayments
- Perform other duties as assigned by the Revenue Cycle Manager or CFO
Requirements & Qualifications
Qualifications:
- High School Diploma or GED
- Certification in Medical Billing and Coding or equivalent revenue cycle certification
- Minimum of one year of healthcare revenue cycle, medical billing, coding, collections, or accounts receivable experience
- Knowledge of Medicare, Medicaid, commercial insurance, and managed care billing regulations
- Strong understanding of CPT, ICD-10, HCPCS, and revenue cycle processes
- Proficient computer skills, including electronic health record and practice management systems
- Strong analytical, organizational, and problem-solving abilities
- Effective verbal and written communication skills
- Ability to maintain confidentiality and exercise sound judgment
Physical requirements:
- Prolonged periods of sitting and working on a computer
- Ability to communicate effectively by phone, email, and in person
- Ability to occasionally lift and move office materials up to 20 pounds
Benefits & Perks
- Health insurance
- Vision insurance
- Dental insurance
- 401(k)
- 401(k) matching
- Paid time off
- Competitive salary
- Opportunity for advancement
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
No
Posted
1 month ago
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