Hospital Billing Supervisor | Revenue Cycle

Guidehouse•San Antonio, TX

About The Position

The Hospital Billing Supervisor – Revenue Cycle oversees daily hospital billing operations to ensure timely, accurate, and compliant submission of facility claims. The role provides day-to-day leadership and technical guidance to billing staff; monitors productivity, quality, billing queues, claim edits, billing holds, and unbilled accounts; and works with internal departments, payers, and clearinghouses to resolve issues that delay claim submission or reimbursement. The supervisor is accountable for meeting billing goals and client service-level expectations while complying with federal and state regulations, payer requirements, and organizational policies. The position manages staff performance and development, supports claim quality and revenue cycle performance, identifies trends and root causes, implements process improvements, prepares operational reports, and escalates significant issues and recommendations to management.

Requirements

Bachelor’s degree and at least five years of relevant experience, or a high school diploma and at least seven years of relevant experience.
At least two years of leadership, supervisory, or people-management experience.
Hospital/facility billing or Patient Financial Services experience.
Strong understanding of hospital revenue cycle operations and accounts receivable.
Working knowledge of government and commercial payer billing requirements.
Demonstrated experience managing billing inventories, claim edits, claim holds, rejections, and/or billing-related work queues.
Strong analytical, organizational, communication, and problem-solving skills.
Ability to manage competing priorities and make timely operational decisions.
Ability to communicate effectively with staff, management, clients, payers, and cross-functional departments.

Nice To Haves

Extensive hospital billing experience.
Experience with Epic Hospital Billing (HB), Meditech 6, and/or Meditech Magic.
Experience managing claim edit and billing work queues.
Knowledge of Medicare and Medicaid hospital billing requirements.
Familiarity with CPT, HCPCS, ICD-10, revenue codes, claim forms, and hospital reimbursement methodologies.
Experience working with billing scrubbers, clearinghouses, electronic claim submissions, and payer portals.
Experience developing or monitoring hospital billing KPIs and productivity standards.
Intermediate to advanced Microsoft Excel skills.
Strong client-service and cross-functional collaboration skills.

Responsibilities

Provide daily leadership, direction, coaching, and support to hospital billing staff; set expectations and monitor individual and team performance.
Train staff on billing requirements, payer updates, regulatory changes, and departmental procedures, and ensure they have the tools, access, and knowledge needed to perform their work.
Oversee daily hospital claim activities, ensuring claims are generated, reviewed, corrected, and released according to billing timelines.
Monitor work queues, claim edits and holds, unbilled accounts, electronic submissions, payer rejections, clearinghouse edits, and billing exceptions through resolution.
Oversee corrected, replacement, and adjusted claim workflows and ensure account actions are accurately documented in the patient accounting system.
Monitor reconciliation activities and ensure billing issues are researched, resolved, and escalated appropriately.
Measure billing accuracy, claim quality, productivity, and timeliness; conduct or coordinate quality reviews and ensure assigned inventories are worked according to prioritization and aging expectations.
Analyze reports and trends to identify backlogs, recurring edits or rejections, billing delays, and root causes; develop and implement action plans and sustainable corrective solutions.
Serve as an escalation point for complex hospital billing issues and collaborate with Patient Access, Health Information Management, Coding, Utilization Management, Revenue Integrity, IT, payers, clearinghouses, and other stakeholders.
Communicate payer requirements and billing changes to staff and affected departments, and support implementation and testing of system or workflow changes.
Ensure billing activities comply with applicable regulations, payer requirements, and organizational policies; educate staff, escalate potential compliance concerns, and support audits and corrective actions.
Prepare, review, and distribute daily, weekly, and monthly billing reports; monitor KPIs and provide management with updates on barriers, backlogs, payer issues, and operational risks.
Complete required reports, reconciliations, and assigned projects accurately and on time.
Evaluate billing workflows, maintain standardized procedures and training materials, encourage staff input, and support new technologies, system enhancements, payer requirements, and revenue cycle initiatives.