Supervisor, Reimbursement – Pre-Billing

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the daily operations of the front-end revenue cycle, encompassing patient registration, billing data entry, insurance verification, eligibility validation, and financial case management workflows.

• Supervise intake triage processes, which include managing incoming calls, emails, escalations, correspondence, and providing issue resolution support.

• Ensure the meticulous review and processing of patient demographics, insurance details, diagnosis codes, relevant documentation, and payer selection prior to submitting claims.

• Monitor operational queues, productivity levels, quality metrics, and departmental SLAs to facilitate timely workflow completion and readiness for clean claims.

• Assist in front-end denial prevention by identifying and addressing eligibility discrepancies, payer issues, registration inaccuracies, and any front-end claim edits or rejections.

• Provide leadership oversight and workflow assistance for both on-site and offshore/BPO operational teams.

• Act as a subject matter expert on payer interpretation, insurance verification workflows, payer portals, Medicare, Medicaid, commercial plans, IPA routing, and self-pay processes.

• Manage escalated operational challenges and collaborate with cross-functional departments to ensure reimbursement readiness and resolve workflow issues.

• Conduct audits of front-end operational activities to guarantee compliance with payer requirements, internal workflows, and documentation standards.

• Track payer trends, workflow gaps, and reimbursement-related concerns to support ongoing operational improvement initiatives.

• Collaborate with Training, Quality, Systems, Prior Authorization, Post-Billing, and Revenue Cycle Leadership teams to enhance workflow efficiency, operational performance, and staff development.

• Coach, mentor, and provide support to employees.

⛳️ Requirements

• An Associate's degree (Bachelor's preferred) in relevant fields such as healthcare administration, business administration, or engineering is preferred; however, directly related healthcare revenue cycle experience may be considered in lieu of a degree.

• A minimum of 5 years of experience in healthcare revenue cycle, particularly in front-end/pre-billing workflows, is required.

• Proven leadership capabilities, with at least 2 years of experience supervising teams, including direct reports and/or offshore (BPO) operations.

• Strong familiarity with healthcare reimbursement systems (e.g., Salesforce, eligibility platforms, clearinghouses), Xifin, Telcor, and both national and regional payers throughout the US is advantageous.

• Experience in supporting offshore/global operational teams and working in high-volume production environments is highly preferred.

• Strong analytical and problem-solving abilities, with a keen eye for identifying workflow trends, operational gaps, denial drivers, and opportunities for process improvement.

• Proficient in Microsoft Office Suite, especially Microsoft Excel, reporting tools, and general computer navigation; strong typing and documentation accuracy skills are essential.

• Excellent verbal and written communication skills, enabling effective collaboration across operational departments, leadership teams, providers, patients, insurance carriers, and external business partners.

• Demonstrated ability to juggle multiple priorities in a fast-paced operational environment while maintaining a strong focus on detail, quality, and service excellence.

🏝️ Benefits

• Health insurance

• 401(k) matching

• Flexible working hours

• Paid time off

• Remote work options

• Professional development opportunities