Healthcare Billing Operations Lead

Job post summary Pay: $52,000.00 per year Job description: Job Title: Billing Supervisor Reporting To: CEO/HR Exempt Position Overview Join our dynamic team as a Billing Supervisor and lead our billing operations with energy, precision, and a passion for excellence! In this pivotal role, you will oversee the entire billing process, ensuring accuracy, timeliness, and compliance across all accounts. Your leadership will drive efficiency, foster teamwork, and uphold the highest standards of financial integrity. This is an exciting opportunity for a motivated professional eager to make a significant impact in a fast-paced environment while supporting the financial health of the organization. Position Overview The Billing Supervisor is responsible for overseeing the daily operations of the medical billing department, ensuring accurate claim submission, timely reimbursements, and compliance with federal, state, and payer regulations. This position supervises billing staff, monitors revenue cycle performance, and ensures adherence to proper coding, prior authorization requirements, and referral protocols. The ideal candidate will have at least seven (7) years of experience in healthcare billing, including demonstrated supervisory experience, and strong knowledge of medical coding, payer requirements, prior authorizations, and referral management. The Billing Supervisor plays a critical role in maintaining revenue integrity and optimizing the organization’s reimbursement processes. Key Responsibilities Revenue Cycle Oversight Supervise the day-to-day operations of the billing department, including claim submission, payment posting, denial management, and accounts receivable follow-up. Monitor billing workflows to ensure claims are submitted accurately and within payer deadlines. Ensure compliance with payer policies, federal regulations, and internal billing procedures. Review billing reports and key performance indicators to maintain optimal revenue cycle performance. Prior Authorizations & Referral Management Oversee the verification, documentation, and tracking of prior authorizations required by commercial payers, Medicare, and Medicaid plans. Ensure services rendered align with approved authorizations and payer requirements. Supervise staff responsible for obtaining and documenting referrals and authorizations prior to service delivery. Identify and resolve authorization-related claim denials or delays in reimbursement. Maintain updated knowledge of payer-specific authorization and referral requirements. Coding Compliance & Accuracy Ensure accurate application of CPT, HCPCS, and ICD-10 codes for services rendered. Review billing practices to ensure coding compliance with payer guidelines and regulatory standards. Collaborate with providers and clinical staff to resolve coding discrepancies or documentation gaps. Provide guidance to billing staff regarding coding updates and reimbursement policies. Staff Supervision & Leadership Supervise and support billing personnel, including billers, authorization specialists, and accounts receivable staff. Delegate tasks effectively and ensure workloads are balanced across the team. Provide coaching, training, and performance evaluations to department staff. Foster a collaborative work environment that promotes accountability and operational efficiency. Denials & Accounts Receivable Management Monitor and reduce claim denials through proactive review of billing practices. Identify trends in payer denials related to coding, prior authorizations, or referrals. Ensure timely appeals and resolution of denied or underpaid claims. Maintain oversight of accounts receivable aging and implement strategies to improve collections. Reporting & Compliance Generate and analyze billing performance reports, including: Clean claim rates First-pass acceptance rates Accounts receivable aging Denial trends Ensure adherence to HIPAA regulations and patient confidentiality standards. Assist leadership with revenue cycle strategy and operational improvements. Qualifications Required Experience Minimum of 7 years of healthcare billing experience At least 2–3 years of supervisory or team leadership experience Demonstrated expertise in prior authorizations and referral management Strong understanding of medical coding (ICD-10, CPT, HCPCS) Education Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, Medical Billing, or a related field preferred. Certifications (Preferred) Certified Professional Biller (CPB) Certified Professional Coder (CPC) Certified Coding Specialist (CCS) Required Skills & Competencies Strong knowledge of healthcare revenue cycle management Advanced understanding of payer requirements and billing regulations Expertise in prior authorization and referral processes Strong understanding of medical coding standards Experience with Electronic Health Record (EHR) systems Strong leadership and staff management skills Excellent problem-solving and analytical abilities Strong organizational and communication skills Ability to manage multiple priorities in a fast-paced environment Work Environment Healthcare administrative office environment Frequent interaction with billing staff, clinical providers, and insurance payers High level of attention to detail and regulatory compliance required Benefits: 401(k) Health insurance Paid time off Work Location: In person #J-18808-Ljbffr