Revenue Cycle Managed Services Billing Supervisor

This is a fully remote position, open to applicants in California, +1 more state.

📋 Description

• Supervise daily billing work queues for claim generation, editing, submission, rebilling, and follow-up.

• Track billing productivity, claim volumes, and aging reports in relation to service level expectations.

• Examine and resolve billing edits, claim rejections, and front-end denials.

• Guarantee precise claim submission to government, commercial, managed care, and workers’ compensation payers.

• Oversee unbilled accounts and charge lag metrics.

• Investigate and address complex or escalated billing issues.

• Ensure compliance with HIPAA, CMS regulations, payer requirements, state guidelines, and organizational policies.

• Perform quality audits to validate billing accuracy, documentation, claim edits, and compliance.

• Generate productivity, quality, timeliness, and claim acceptance reports for leadership review.

• Work collaboratively with coding, patient access, accounts receivable, denials, cash posting, compliance, and other revenue cycle teams.

• Assist with month-end close activities and communicate any unresolved issues.

• Review and support escalated claims involving payer requirements, authorizations, modifiers, and regulatory compliance.

• Lead, mentor, train, and evaluate billing staff.

• Conduct one-on-one meetings, team huddles, and performance discussions.

• Monitor team performance and develop corrective action plans.

• Aid in onboarding, workflow training, and competency development.

• Provide guidance on billing regulations, payer requirements, claim submission, and system workflows.

• Support performance improvement initiatives, corrective actions, and employee development.

• Promote accountability, collaboration, and continuous improvement.

• Partner with managers, directors, client delivery leadership, coding, clinical operations, patient access, denials, and AR leadership.

• Engage in leadership, operational, and client meetings.

• Assist with implementation projects, workflow enhancements, system upgrades, and client transitions.

⛳️ Requirements

• High school diploma or equivalent is required.

• An associate or bachelor’s degree in healthcare administration, business, finance, or a related field is preferred.

• A minimum of three years of experience in healthcare billing, revenue cycle, patient accounting, or a related field is required.

• At least 1-2 years of supervisory or team lead experience in healthcare billing.

• Strong understanding of professional and/or hospital billing processes, claim submission workflows, payer requirements, and reimbursement methodologies.

• Experience working with Medicare, Medicaid, commercial insurance, managed care organizations, and government payers.

• Proficient knowledge of claim edits, denials, modifiers, coordination of benefits, eligibility verification, and billing compliance requirements.

• Familiarity with electronic health records, practice management systems, clearinghouses, payer portals, and Microsoft Office applications.

• Ability to interpret payer policies, billing guidelines, remittance advice, and operational reports.

• Strong comprehension of revenue cycle processes, reimbursement methodologies, and healthcare billing regulations.

• Proficiency with EHR and billing systems (Epic preferred), Microsoft Excel, and workflow reporting tools.

• Excellent communication, time management, leadership, and organizational abilities.

• Willingness to travel occasionally for client implementations, training, and onboarding activities.

• Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR), or related healthcare revenue cycle certification is preferred.

• Experience supporting large, multi-facility health systems or physician organizations is preferred.

• Experience managing offshore or nearshore teams is preferred.

• Bilingual (English/Spanish) is preferred.

• Familiarity with Epic, Cerner, Meditech, or other enterprise patient accounting systems is preferred.

• Experience leading teams in complex revenue cycle settings with multiple specialties and payer types is preferred.

• Residing in California or Texas is preferred.

🏝️ Benefits

• Annual performance bonus may be available for salaried roles.

• Additional benefits and perks may be available, contingent on the position and employment terms.

• A caring, enjoyable, honest, and autonomous work environment.

• A diversity and inclusion atmosphere where employees feel valued and empowered.