Billing Supervisor

Essential Functions: These functions are fundamental to the role and must be performed with or without a reasonable accommodation.

1. Oversees all billing functions.
   1. Reviews, implements, and updates all billing policies and procedures with attention to compliance with federal and state regulations.
   2. Directs all billing of patients, third party payers, and county agencies, with appropriate follow-up of all rejected claims.
   3. Establish and maintain rapport with third party payers and agencies to facilitate ongoing "clean claims" submission. Maintains accurate record maintenance and retention to facilitate regulatory compliance and optimize reimbursement. Ensures timely and accurate paper flow through the system consistent with regulatory guidelines. Maintains current extensive knowledge of CPT, ICD, CDT coding.
   4. Directs all crediting and collections activity within CVCH system.
   5. Ensures workflows align with FQHC PPS, wrap, and cost-based reimbursement rules.
   6. Maintains knowledge of UDS reporting impacts related to billing and coding.
2. Maintains regulatory compliance.
   1. Ensures that policies are accurate and up-to-date. Reviews all billing inquiries and reports of non-compliance and provides investigation and resolution. Maintains current extensive knowledge of State and Federal regulations applicable to billing processes.
   2. Conducts internal audits to monitor ongoing compliance with State and Federal regulations.
   3. Provides interpretation and implementation of billing policies and procedures to Billing Department staff and providers.
   4. Ensures billing processes comply with HRSA Program Requirements, OIG Guidelines, and FQHC-specific billing regulations.
   5. Monitors processes associated with Sliding Fee Discount Program, including correct application of discounts.
3. Auditing and reporting Responsibilities.
   1. Establishes and maintains internal audit controls including charge review and denial trend analysis. Develops and presents monthly dashboards to Revenue Cycle Director including AR aging, denial categories, charge lag, and clean-claim rate. Serves as subject matter expert during internal and external audits.
   2. Educates providers regarding any documented billing infractions of State or Federal regulations.
4. Training and Staffing Responsibilities.
   1. Provides instruction and training regarding policies and procedures to Billing Department Staff. Monitors Billing Department staff performance through quarterly proficiency testing. Provides interpretation of State and Federal billing regulations for Billing department staff and other CVCH staff.
   2. Acts as organizational liaison to Information Technology personnel regarding billing issues.
   3. Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service.
   4. Conducts routine 1:1 meetings and annual performance evaluations.
   5. Develops cross-training plans to ensure departmental coverage.

1. Accounts Receivables.
   1. Supervises the compilation of financial and accounting statements and reports; coordinates the reconciliation of accounts receivable and verifies reports at month end. Coordinates and monitors the day-to-day workload in the department to ensure deadlines are met; reviews periodic reports for error ratings and denied billings. Ensures control and accuracy of data entry of the revenues received into the automated billing system.
   2. Analyzes department charges to ensure correct billing and monitors the department's expenditures to stay within approved budgets.
   3. Supervises and reviews adjustments to patient's accounts; documents and maintains historical corrections in the automated billing system.
   4. Supervises and coordinates activities involved in maintaining and processing various accounting and financial records associated with billing, revenue, collection and record keeping activities.
   5. Develops strategies to reduce avoidable denials and prevent rework.
2. NextGen & Athena Electronic Practice Management (EPM) Administrator.
   1. As the Billing Supervisor, provides direction to Medical, Dental, Behavioral Health and Billing staff on optimizing the use of the electronic patient management system through training and regular reporting and review. Performs system implementation, maintenance, training, and user support, as required. Implements and builds table design and system testing. Acts as key technical resource for other staff, providing advice, training support for various projects relating to Athena Collector. Assists with developing policies and procedures relating to EPM Plans.

Essential Duties & Responsibilities: These functions are fundamental to the role and must be performed with or without a reasonable accommodation.

1. Performs other duties and tasks as assigned by supervisor.
2. Start shift on time and meet attendance standards per the FTE assigned in HRIS system.
3. Follow safety policies and maintain a clean, safe work environment.
4. Demonstrate sound work ethics, flexibility, and cultural sensitivity.
5. Uphold CVCH's mission and core values in all interactions.
6. Comply with CVCH policies, Joint Commission standards, and HIPAA regulations.

Non-Essential Functions: These are tasks that are included in the role but are not critical. They may be reassigned or modified without fundamentally changing the job.

• Participate in internal committees or special projects.
• Contribute to internal communications

Qualifications:

• Education: Associate's degree required. Bachelor's degree in accounting or related field preferred. Combination of education and work experience may be substituted for degree.

• Certification/Licensure: The following certifications are preferred: CPB, CHFP, CPC, CH-CBS, FQHC billing certificate programs.

• Experience: Must have 3 years of third-party billing experience, which includes and Medicare billing experience in a health care agency, and 1 year of supervisory experience.

• Experience with NextGen and Athena (administration, configuration, reporting, and workflow optimization) preferred

• Language Skills: English fluency required

Work Environment & Physical Demands:

• Typical office environment
• Sit, stand, walk, often
• Reach occasionally
• Kneel or crouch minimally
• May need to lift up to 20 pounds
• Visual acuity for close and distance work

Exposure to Hazards:

• Moderate noise
• Standard administrative working conditions

Blood/Fluid Exposure Risk:

• Category III - Tasks involve no greater exposure to blood or body fluids than would be encountered by a visitor.

Age-Specific Competency:

• Not applicable - position does not involve patient care.

Telecommuting:


Position eligible for partial telecommuting.

Equal Opportunity Statement:

• CVCH is an equal opportunity employer and embraces diversity in the workplace. We are committed to providing a respectful, inclusive, and supportive environment for all employees.

Benefits


*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE


Benefit:

Coverage:

Effective:

Medical


Premera (Self Insured)


Preferred Provider


Employee covered - $70.00 per month


Dependents covered - please refer to the benefits Guide 2026 for rates


First of the month following the first date of employment.


Dental


Washington Dental


Employee covered - 100%


Dependents covered - 50%


First of the month following the first date of employment.


Paid Leave


120 hours - Year 1


136 hours - Year 2
Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.


Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB.


Extended Illness Bank (EIB)


Allows for maximum accrual of 200 hours


PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.


Holidays


88 hours related to:
New Year's Day
Memorial Day
4th of July
Labor Day
Thanksgiving Day
Day after Thanksgiving
Christmas Eve
Christmas Day
3 Diversity Days


Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below:
Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE)
Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE)


Please refer to the Paid Leave policy for additional details.


403(b) Retirement Plan


Lincoln Financial


150% CVCH match up to 3% of the employee's contribution


Immediately. Vesting schedule:


20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.


Employee Assistance Program


Mutual of Omaha


Free short-term counseling for employee and family


Immediately. Call View phone number on click.appcast.io


Long-term Disability


Mutual of Omaha


Employee Only (variable)


First of the month following the first date of employment.

Benefit:

Coverage:

Effective:

Basic Term Life


Mutual of Omaha


Employee Only (1x annual salary, up to $200,000)


First of the month following the first date of employment.


Group Accidental Death and Dismemberment (AD&D )


Mutual of Omaha


Employee Only (1x annual salary, up to $200,000)


First of the month following the first date of employment.


Supplemental Term Life


Mutual of Omaha


Employee / Spouse / Dependent(s)


First of the month following the first date of employment.


Voluntary AD&D


Mutual of Omaha


Employee / Family


First of the month following the first date of employment.


Health Reimbursement Arrangement


RedQuote


Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year.


First of the month following the first date of employment.


Flex Plan: Medical


RedQuote


Flex Plan: Maximum $3,400 per year


Direct Deposit available


First of the month following the first date of employment.


Flex Plan: Dependent Care


RedQuote


Flex Plan: Maximum $7,500 per year


Direct Deposit available


First of the month following the first date of employment.


AFLAC


Supplemental insurance - cafeteria plan


First of the month following the first date of employment.


Wellness Stipend


CVCH will reimburse staff up to $30 per month for a local gym membership


OR


CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)


Immediately. Once employee has submitted invoice to HR/Payroll department.


Cell Phone Discounts


Discounted monthly access fees


Discounted select accessories and special equipment


Available for personal cell phones, currently in place with AT&T & Verizon

Benefit:

Coverage:

Effective:

Tuition Reimbursement


For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of:
$4,000 for an Associate's degree, vocational, technical, or certification program
$6,000 for a Bachelor's degree
$8,000 for a Master's degree


Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.

Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams.
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