Billing Supervisor

Guardian Pharmacy Services Management•St.Cloud, MN

19h•Onsite

About The Position

The Supervisor, Billing leads the day-to-day billing, accounts receivable, and collections functions while ensuring work is completed accurately, efficiently, and on time. This position oversees claims adjudication, batch processing and posting, account maintenance, and issue resolution to help maximize revenue and maintain a high level of service for residents, responsible parties, facility staff, and internal partners. The Supervisor develops and supports team members, monitors productivity and quality metrics, resolves escalated billing issues, and collaborates with other departments to improve processes and address workflow challenges.

Requirements

High school diploma or GED required; bachelor’s degree preferred.
Five or more years of related billing, accounts receivable, collections, or claims experience; an advanced degree may substitute for a portion of the experience requirement.
At least three years of experience in a high-volume claims processing environment.
Previous supervisory or team leadership experience strongly preferred.
Pharmacy Technician license, certification, or registration may be required based on state and pharmacy requirements.
National Pharmacy Technician Certification through PTCB preferred and may be required for certain pharmacy locations.
Strong leadership, coaching, and team-development skills.
Advanced computer skills; experience with pharmacy operating systems preferred.
Working knowledge of billing, accounts receivable, collections, and claims adjudication processes.
Strong analytical and problem-solving abilities with the judgment to resolve issues with minimal direction.
Excellent attention to detail and commitment to accuracy and quality.
Ability to analyze reports, identify discrepancies, and implement appropriate corrective actions.
Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.
Ability to work independently while collaborating effectively across departments.
Strong written and verbal communication and customer-service skills.
Ability to thrive in a fast-paced, team-oriented environment.

Nice To Haves

Bachelor's degree preferred.
National Pharmacy Technician Certification through PTCB preferred and may be required for certain pharmacy locations.
Experience with pharmacy operating systems preferred.

Responsibilities

Supervise billing, accounts receivable, and collections activities to ensure accuracy, timely completion, and a high level of customer service.
Manage team productivity and performance against established metrics, including production volume and error rates.
Hire, train, schedule, coach, evaluate, and develop team members; address performance or disciplinary matters as needed.
Ensure all claims are adjudicated and billing batches are completed and posted accurately and on time.
Monitor prior authorization and rejection queues and ensure outstanding items are researched and resolved promptly.
Review patient, insurance, and billing information for completeness and accuracy.
Analyze operational reports, including unbilled revenue, and provide explanations of variances and required corrections.
Assist with month-end close activities, including statement preparation, reporting, and account analysis.
Handle escalated billing and account issues and work toward satisfactory resolution for residents, responsible parties, and facility customers.
Conduct customer account audits as needed.
Serve as a subject matter expert on department systems and applications, including QS/1, DocuTrack, banking software, and other relevant programs.
Maintain a thorough understanding of all department functions and provide hands-on support to eliminate workflow bottlenecks.
Lead the development and ongoing maintenance of training manuals, policies, and procedures for each billing function.
Conduct regular team meetings and coordinate cross-functional discussions to improve communication and resolve operational issues.
Collaborate with other departments on billing, claims adjudication, and customer account matters.
Assist with incoming calls and customer service needs when necessary.
Become cross-trained in all department functions to provide coverage and operational support.
Lead by example by demonstrating a positive attitude, dependability, commitment, productivity, efficiency, and adherence to company policies and procedures.
Perform other essential duties as assigned.