Reimbursement Supervisor - Front End

Naveris•Waltham, MA

23h•Remote

About The Position

We are looking for a conscientious, knowledgeable Reimbursement Supervisor – Front End to join our team and oversee front-end reimbursement operations. While Naveris partners with an outsourced RCM vendor, this role provides hands-on oversight of insurance verification, prior authorization, and front-end billing processes to ensure clean, accurate, and timely claim submissions across Medicare, Medicaid, and commercial insurance plans.

Requirements

4+ years of experience in reimbursement or revenue cycle management within a diagnostics company, laboratory, or commercial payer environment
Bachelor’s degree or equivalent experience
Prior experience leading or supervising a billing, insurance verification, or reimbursement team
Strong understanding of medical benefit structures, including Federal, State, PPO, HMO, and indemnity plans
Working knowledge of CPT, ICD-10, and HCPCS coding, as well as LCD/NCD coverage guidelines
Strong problem-solving skills with attention to detail, judgment, and follow-through
Excellent verbal and written communication skills with a strong customer service mindset
Strong troubleshooting, organizational, and time-management skills
Ability to adapt to changing business needs
Self-starter with the ability to work independently while supervising others

Nice To Haves

Experience with Xifin, Quadax, or Telcor preferred

Responsibilities

Supervise, train, and evaluate the performance of front-end billing and insurance verification staff
Oversee daily front-end billing operations, including insurance verification, prior authorization workflows, and financial assistance programs
Serve as an escalation point for complex billing inquiries, discrepancies, and patient complaints, ensuring timely resolution and clean claim submission
Assist in developing, documenting, and maintaining front-end billing policies and procedures
Ensure compliance with all applicable billing regulations and company policies, including HIPAA; conduct audits to identify errors and improvement opportunities
Recommend process improvements to enhance efficiency, productivity, and cash flow
Stay current on insurance policies, coding guidelines, and federal/state regulations through ongoing education
Communicate effectively with patients and providers regarding billing policies, financial assistance programs, EOBs, and member responsibility in escalated cases
Critically assess difficult situations and escalate to leadership when appropriate
Maintain a strong understanding of the reimbursement lifecycle and communicate it clearly across teams
Maximize utilization of systems, tools, and resources to support front-end reimbursement activities
Manage multiple priorities with urgency in a fast-paced environment
Ensure compliance with all Federal and State legislation related to billing and reimbursement
Fully remote role (U.S.-based) with occasional travel for trainings, meetings, or on-site presence at headquarters.
Travel requirement: up to 5%.