Medical Billing Supervisor

Union County Orthopaedic Group Division of OrthoNJ•Linden, NJ

6d•$62,000 - $80,000

About The Position

Union County Orthopaedic Group, a division of OrthoNJ, LLC, is a fast-paced, patient-centered medical practice specializing in orthopaedics, pain management, and podiatry across three convenient New Jersey locations. We are seeking an experienced Billing Supervisor to lead our billing team, drive revenue cycle performance, and ensure the accuracy and efficiency of our billing operations. The Billing Supervisor is responsible for overseeing the day-to-day workflow of the billing department, including follow-up on rejected claims and overdue balances, payor relationship management, and patient accounts receivable. This role is both a hands-on operational position and a people leadership role — requiring someone who can coach and develop staff while also rolling up their sleeves to keep the revenue cycle running smoothly.

Requirements

Minimum 2 years of medical office management experience, preferably in a physician group practice — required
Revenue cycle experience in a physician group practice setting — required
Orthopaedic billing experience — required
Commercial insurance billing experience (e.g., BCBS, Aetna, Cigna, UHC) — required
Proven knowledge of CPT and ICD-10-CM coding for orthopaedic, podiatry, and pain management procedures
Strong understanding of managed care contractual arrangements and accounts receivable processes
Working knowledge of practice management systems and electronic medical records (ModMed/EMA experience a plus)
Strong analytical skills with the ability to interpret and present A/R data
Excellent verbal, written, and interpersonal communication skills
Knowledge of HIPAA and OSHA guidelines
HS diploma or GED required

Nice To Haves

Bilingual (English/Spanish) a plus — our patient population includes Spanish-speaking patients and the ability to communicate in both languages is highly valued
Bachelor's degree in Business or related field preferred

Responsibilities

Assist with recruitment, discipline, and termination of Reimbursement and Patient Collections staff
Train, develop, and oversee the performance of billing team members; conduct regular one-on-ones to address key issues, A/R performance, and growth opportunities
Monitor overall department workload and distribute work accordingly; ensure coverage during vacations and absences
Provide in-service training to staff on insurance requirements and billing updates
Maintain working knowledge of all key billing functions including claims processing, payment posting, insurance follow-up, and patient collections
Analyze aged A/R reports, days in receivable, and collection statistics by payor; present findings to physicians as needed
Perform quarterly billing audits to ensure timely and accurate charge and payment posting
Conduct quarterly reviews of EOB forms from commercial and managed care payors
Meet with physicians to discuss complex or difficult claims
Monitor patient payment plan adherence and intervene as needed
Identify opportunities to leverage technology for operational improvements
Maintain and update the practice fee schedule, CPT, ICD-10-CM, adjustment, and payment codes
Maintain and distribute contracted payment schedules from carriers; input/update into the practice management system
Request updated payment schedules from contracted carriers annually and prepare quarterly fee/payment comparative reports
Maintain carrier contracts and assist with credentialing applications and reapplications as requested
Distribute formularies to clinicians and stay current on specialty, Medicare, Medicaid, and carrier updates
Uphold HIPAA compliance standards; report identified or suspected violations to the Privacy Officer
Maintain coding compliance standards; actively participate on or support the Compliance Team
Maintain detailed knowledge of practice management systems and EMR as it relates to job functions
Attend staff meetings and continuing education sessions as required