Insurance Billing Supervisor (FT- 1.0 FTE, Day Shift, On-site)

Bozeman Health•Bozeman, MT

5d•Onsite

About The Position

The Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring and staffing departmental services subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital administrative team in collaboration with the Patient Financial Services (PFS) manager. This role oversees and coordinates the insurance billing function for Bozeman Health and all related entities, including claims submission, follow-up, and denial management. The supervisor supports staff in maintaining accuracy and timeliness in claims processing to maximize reimbursement. Additional responsibilities include developing and implementing quality assurance initiatives, monitoring compliance with payer and policy requirements, conducting regular audits, and analyzing performance metrics. The supervisor also partners with Revenue Cycle leadership on training and process improvement initiatives while ensuring effective communication across departments to resolve systemic billing issues.

Requirements

Associate’s degree in Business, Accounting, or related field; or equivalent combination of education and experience.
Three (3) years of experience in medical billing and claims.
One (1) year of supervisory experience.
Knowledge of electronic healthcare payment transactions.
Prior experience in healthcare administration, revenue cycle, or accounts receivable management.
Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing.

Nice To Haves

Bachelor’s degree in Business or related field.
Prior experience with Epic billing systems.

Responsibilities

Assists department leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and hospital requirements.
Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization.
Coordinates and oversees the organization-wide departmental services.
Continuously assesses, measures and improves departmental performance.
Demonstrates responsible management of all departmental resources.
Demonstrates clinical/technical and managerial competency.
Ensures staff professional needs are met.
Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards
Oversees billing team productivity and quality, including monitoring Epic work queues to ensure timely and accurate claim follow-up and resolution.
Develops and leads the QA program in collaboration with the System Manager, incorporating productivity tracking, regular audits, and performance reporting.
Conducts data analysis and prepares performance reports, identifying trends in billing, denials, and underpayments to inform process improvements.
Collaborates with the PFS Manager, Contract Specialist, and Compliance team to address denial trends and payer issues, and escalates concerns as needed.
Ensures compliance with payer regulations and internal policies through continuous oversight and quality monitoring.
Approves account adjustments within defined thresholds and escalates recurring issues or trends to leadership.
Leads recruiting, onboarding, and performance evaluations for billing staff and supports professional development through coaching and feedback.
Drives training initiatives and operational enhancements, partnering with Revenue Cycle leadership and external resources to implement system-wide improvements.