BILLING OPERATIONS SUPERVISOR - 40000955

Durham County•Durham, NC

18h

About The Position

This position oversees the daily operations of the billing unit. This position provides guidance and knowledge in the areas of medical and dental billing supervising the billing unit, serving as a subject matter expert for the health department on billing systems and payer requirements to ensure optimal reimbursement while maintaining compliance. This position works under general supervision and exercises independent judgment in developing methods and approaches to service delivery.

Requirements

Working knowledge of medical billing principles, payer reimbursement methodologies (including Medicaid, Medicare, and commercial insurance), and healthcare revenue cycle practices.
General understanding of bookkeeping and accounting principles as they apply to billing, payment posting, accounts receivable, and reconciliation.
Familiarity with government budgeting and public health financial procedures, including reporting, auditing, and fee setting.
The ability to independently plan, organize, assign, and review the work of billing staff, ensuring accuracy and productivity.
Strong leadership skills with the ability to coach, mentor, and evaluate staff while addressing performance or disciplinary issues when necessary.
Excellent interpersonal skills and the ability to maintain effective working relationships with clinical teams, administrative staff, the public, and representatives from external agencies.
Clear and professional oral and written communication skills; able to present information effectively to staff and leadership.
Strong analytical skills with the ability to interpret billing regulations, identify and resolve issues, and apply relevant laws and payer policies.
Highly organized with the ability to prioritize tasks, manage competing deadlines, and adapt to changing programmatic or regulatory needs.
Proactive, flexible, and open to continuous learning and adopting new approaches to improve efficiency and meet departmental goals.
Associate’s degree in health administration, public health, business, accounting, or related field. Equivalent work experience may be considered.
Three (3) years of progressively responsible experience in healthcare billing and revenue cycle management, including one (1) year of supervisory experience.

Nice To Haves

Experience using billing systems such as EPIC, Patagonia Health, or CureMD.
Familiarity with NC Tracks, Availity, and other payer portals.
Certified Professional Biller (CPB), Certified Professional Coder (CPC), and/or Certified Revenue Cycle Professional (CRCP).

Responsibilities

Oversee, manage and direct the daily operations of the Billing Unit.
Ensure that billing deadlines are met, and productivity standards are maintained.
Evaluates staff training needs; coordinates ongoing education and onboarding for new staff.
Develops and reviews annual performance goals for direct reports and completes performance appraisals annually.
Review and approve staff time entries, leave requests, and 30-day time sheets.
Conduct regular team meetings to share updates, address workflow concerns, and support collaboration.
Address personnel issues in accordance with departmental policies, including initiating corrective actions or disciplinary steps when necessary.
Perform daily revenue payment posting and reconciliation from all payment sources (Medicaid, Medicare, insurance, self-pay, etc.).
Analyze Medicaid remittance advice and process receivables, including identification and processing of necessary refunds.
Monitor and manage accounts assigned to work queues in EPIC or other billing platforms.
Use portals such as Availity Clearinghouse to verify and research remittance and payment status.
Ensure proper application of billing and coding guidelines across programs and services.
Analyze team workflows to identify and address inefficiencies or gaps that impact cash flow and claims performance.
Recommend and implement process improvements to maximize reimbursement and minimize denials and rework.
Track and report on key performance indicators (KPIs) including denial rates, days in accounts receivable, clean claim rate, and others.
Collaborate with revenue cycle staff, program supervisors and managers, and registration supervisor to ensure billing protocols align with clinical and administrative workflows.
Serves as the departmental billing subject matter expert.
Ensure compliance with all applicable local, state, and federal regulations including HIPAA, NCDHHS Coding and Billing Guidance, NCPH Administrative and Clinical Coverage Policies, NC Administrative Codes, NC Immunization Program Coverage, Family Planning Title X, Durham County and agency approved policies.
Act as liaison between the billing unit and clinic and registration supervisors, program managers, EMR vendors, insurance payers, and state consultants.
Collaborate with the finance unit and program leadership during budget planning, fee setting, and operational reviews.
Address and resolve interdepartmental issues that impact billing.
Assist with internal/external audits and prepare supporting documentation as required.
Prepare and analyze billing and claims reports for performance monitoring and quality improvement.
May perform additional tasks assigned to support departmental operations.
Performs related work as assigned.