Operations Supervisor – Billing HB, PB

This is a fully remote position, open to applicants in Arizona, +20 more states.

📋 Description

• Supervise the daily activities of a non-exempt hospital billing team.

• Oversee the creation, execution, and attainment of operational objectives for both clients and the organization.

• Ensure compliance with client policies and procedures while executing all assigned job-related responsibilities.

• Facilitate the interviewing process for prospective billing candidates and provide feedback before hiring.

• Guarantee that team members adhere to HIPAA regulations as well as State and Federal laws and guidelines.

• Ensure that team members meet productivity benchmarks while upholding quality standards.

• Conduct weekly quality audits and offer coaching for necessary improvements.

• Monitor team member performance daily and provide coaching if they do not meet essential metrics.

• Escalate employee performance issues to leadership if coaching efforts are unsuccessful.

• Report and discuss the progress of team members and the team with leadership.

• Conduct disciplinary counseling and implement Employee Success Plans when required.

• Foster teamwork, collaboration, and a positive workplace culture.

• Ensure the accuracy and approval of team member payroll.

• Complete performance evaluations for staff members.

• Provide ongoing training, mentoring, and development opportunities for team members.

• Responsible for researching, analyzing, and reviewing claim errors and rejections to identify trends and improvements.

• Stay updated on payer announcements and process changes to ensure precise claims resolutions.

• Ensure that adjustments are accurate, timely, and compliant with client policies and procedures.

• Identify specific payer-related issues and communicate them to the team and leadership.

• Investigate problematic accounts as necessary.

• Lead and participate in daily shift briefings.

• Escalate client concerns (including IPO issues) to leadership if not resolved internally.

• Responsible for training all new hires on client and company workflows.

• Collaborate with leadership to formulate policies, procedures, and job aids.

• Attend client, payer, and internal meetings as requested.

• Complete all assigned projects punctually.

• Potential for limited travel.

• Perform additional duties as required.

⛳️ Requirements

• High School diploma or equivalent.

• Minimum of 3 years of supervisory experience, including at least 1 year in a healthcare provider or outsourcing setting.

• Experience with health insurance companies for securing payments, billing hospital (UB04) claims, and filing appeals.

• At least 5 years of experience in medical billing or follow-up.

• Knowledge of the healthcare revenue cycle, including CMS regulations and HIPAA compliance.

• Familiarity with ICD-10 and CPT/HCPCS coding.

• Proficient in GoToMeeting/Zoom as well as the Microsoft Office Suite.

• Strong analytical and problem-solving abilities.

• Excellent time management and organizational skills.

• Capability to lead, mentor, and develop team members effectively.

• Strong written and verbal communication skills.

• Ability to work independently and handle multiple priorities.

• Initiative to learn new systems and take proactive steps.

• Maintain professionalism and collaborate effectively with others.

• Punctual, adaptable, and accountable.

🏝️ Benefits

• Competitive salary.

• Comprehensive health benefits.

• Opportunities for professional development and training.

• Supportive work environment that promotes teamwork and collaboration.