Billing Supervisor

Partnership Health Center•Missoula, MT

11h•Onsite

About The Position

The Billing Supervisor oversees billing, coding, and payment posting functions at Partnership Health Center (PHC), ensuring claims, payments, adjustments, and billing information are processed accurately and promptly. The role leads billing staff and supports revenue-cycle operations, compliance with billing protocols, accurate revenue recognition, reduced errors, and effective cash flow. The position works under the direction of the Billing and Coding Manager and directly supervises billing staff. The role has frequent contact with billing, coding, and accounting staff and PHC employees, and regular contact with other departments, patients, and insurers to exchange information, resolve difficulties, and support effective operations. Work is primarily performed in an office setting, with substantial computer workstation use and little physical activity. Occasional light lifting of up to 20 pounds and attendance at off-site meetings may be required. Occasional evening and weekend work may be required. The position is not eligible for full-time remote work. Applicants must complete all sections of the online application and include a cover letter, resume, and any professional licenses. In the cover letter, applicants should explain why they are applying. Incomplete applications or applications missing required attachments will be disqualified. The position requires immunizations or proof of immunity to certain infectious diseases and a TB test, and is subject to a criminal background check, including fingerprinting. Reasonable accommodation may be provided in specified circumstances regarding required vaccines or disclosure of vaccination status. PHC is a 14-site Federally Qualified Health Center in Missoula County serving more than 18,000 individuals and families with primary care services including medical, dental, behavioral health, and an on-site pharmacy. The posting notes that the listed starting rate may differ for current employees.

Requirements

High school diploma or equivalent required; an equivalent combination of education and experience may be considered.
Three years of experience with billing and collection practices, including one year of supervisory or leadership experience.
In-depth knowledge of medical billing and coding, payment posting, accounts receivable management, and revenue-cycle management.
Knowledge of payer policies and practices, including Medicare, Medicaid, and commercial insurance carriers.
Strong understanding of remittance advice (RA), Explanation of Benefits (EOB), and payer requirements for payment posting and reconciliation.
Awareness of industry-standard billing codes, including ICD-10, CPT, and HCPCS, and their impact on payment posting.
Knowledge of electronic health records, practice management software, and billing systems used for payment processing.
Understanding of healthcare reimbursement methodologies, including fee-for-service and value-based care.
Working knowledge of medical terminology and diagnostic-coding procedures, modern office practices, methods for evaluating system performance and recommending improvements, staff supervision, HR policies and relevant collective bargaining agreements, HIPAA compliance, and PHC Corporate Compliance Guidelines.
Ability to coordinate and motivate a hybrid office/home-office team.
Computer data-entry skills and proficiency with a personal computer, word-processing, spreadsheets, email, and computerized accounting systems.
Skill using a calculator and other modern office machines.
Supervisory and leadership skills, including the ability to manage and motivate a team.
Strong analytical skills to interpret complex payment data and identify discrepancies or trends.
Proficiency with billing and payment-posting software and reporting suites to generate reports and analyze data.
Strong communication skills for working with patients, providers, insurance companies, and internal teams to resolve billing issues.
Attention to detail and accuracy, focused on minimizing payment-processing and posting errors.
Ability to learn and follow departmental policies and procedures.
Ability to communicate effectively in English, orally and in writing.
Ability to establish and maintain effective working relationships with diverse individuals and groups.
Ability to direct staff and coordinate work efforts; lead and mentor a team; and foster a positive, productive work environment.
Ability to perform detailed work precisely and accurately and to assess and resolve payment-posting issues and complex billing discrepancies quickly.
Ability to train staff effectively on complex billing processes and system updates.
Ability to manage multiple priorities in a fast-paced environment and consistently meet deadlines.
Ability to maintain confidentiality and comply with privacy and regulatory guidelines, including HIPAA.
Requires immunizations or proof of immunity to certain infectious diseases and a TB test; subject to a criminal background check, including fingerprinting.

Nice To Haves

Bachelor’s degree preferred; accounting and health services administration are identified as well-suited fields of study.
Certification such as Certified Professional Biller (CPB), Certified Professional Coder (CPC) through AAPC, or a similar certification is a plus.
Experience in a medical office setting is preferred.

Responsibilities

Supervise and manage daily billing-team activities, ensuring claims, payments, adjustments, denials, and other financial transactions are posted and recorded accurately and on time.
Participate in hiring; train and mentor staff; schedule staff; evaluate performance; and administer discipline.
Prepare and update training manuals.
Prepare information for annual and third-party payer audits and the UDS report as needed.
Review and ensure compliance with federal, state, and payer-specific coding guidelines, HIPAA regulations, and PHC policies related to compliance, integrity, patient privacy, and ethical billing and collection practices.
Stay informed about payer policies, industry trends, and healthcare reimbursement changes that affect billing and posting processes.
Serve as liaison for insurance companies, clearinghouses, providers, patients, and the collection company.
Monitor and approve account adjustments and revise credit and collection policies.
Direct tracking and preparation of delinquent accounts for collection.
Review and verify payment postings for completeness and accuracy, ensuring compliance with payer requirements, coding standards, and company policies.
Monitor and oversee billing staff processes to ensure accuracy.
Conduct regular audits and quality-control checks of billing, coding, and payment practices; identify errors or issues and recommend and implement corrective actions.
Collaborate within the billing department and with other departments to streamline processes and improve efficiency.
Generate reports on billing metrics, including productivity, accuracy, compliance, cash-posting accuracy, denial rates, and aging of receivables, to identify trends and improvement areas.
Address escalated billing and coding inquiries from providers, patients, or payers and help resolve complex issues promptly.
Perform related work as required or directed.