Billing Supervisor

Hyndman Area Health Center•Bedford Township, PA

1d•Onsite

About The Position

The Billing Supervisor is responsible for overseeing the daily operations of the billing department to ensure accurate and timely billing, collections, coding, denial management, and patient account resolution. This position supervises billing staff and serves as a resource for resolving complex billing issues while supporting organizational goals related to reimbursement, compliance, and customer service.

Requirements

High School Diploma or GED.
Certification in Medical Billing and Coding or equivalent revenue cycle certification.
Minimum of one (1) year of healthcare revenue cycle, medical billing, coding, collections, or accounts receivable experience.
Knowledge of Medicare, Medicaid, commercial insurance, and managed care billing regulations.
Strong understanding of CPT, ICD-10, HCPCS, and revenue cycle processes.
Proficient computer skills, including electronic health record and practice management systems.
Strong analytical, organizational, and problem-solving abilities.
Effective verbal and written communication skills.
Ability to maintain confidentiality and exercise sound judgment.

Responsibilities

Maintains confidentiality of all health center information in accordance with HIPAA regulations and organizational policies.
Supervises and provides leadership to Billing Specialists and other assigned personnel.
Assists in recruiting, training, onboarding, coaching, and evaluating billing staff.
Works with Revenue Cycle Manager on staff productivity and performance to ensure departmental goals and expectations are met.
Ensures claims are submitted accurately and timely to all third-party payers.
Oversees insurance follow-up activities and monitors outstanding accounts receivable.
Reviews and assists with denial management, appeals, claim corrections, and reimbursement issues.
Assists in monitoring accounts receivable aging and works with staff to reduce outstanding balances.
Ensures proper payment posting procedures are followed and reconciliations are completed accurately.
Assists in maintaining fee schedules, coding updates, and billing guidelines.
Ensures compliance with federal, state, payer, and organizational billing requirements.
Reviews reports related to charges, claims, denials, collections, and accounts receivable with the billing team for improvements.
Identifies trends affecting revenue cycle performance and recommends corrective action plans.
Collaborates with Patient Service Representatives, clinical staff, providers, and management to resolve patient account and billing concerns.
Responds to patient inquiries regarding billing, insurance coverage, and financial responsibility.
Serves as a department resource for electronic health record and practice management system issues related to billing and revenue cycle functions.
Helps develop and maintain department workflows, policies, and procedures.
Provides coverage and support during staff absences as needed.
Prepares and presents department performance metrics to the Revenue Cycle Manager.
Works with Revenue Cycle Manager to identify opportunities to improve reimbursement, reduce denials, and increase operational efficiency.
Maintains professional relationships with insurance representatives and external vendors.
Ensure sliding fees are followed and calculated, posted and adjudicated correctly.
Responsible for timely refund of account overpayments.
Performs other duties as assigned by the Revenue Cycle Manager, or CFO.