Billing Supervisor

Description

POSITION TITLE: Billing Supervisor

FLSA CLASSIFICATION: Exempt

REPORTS TO: Director of Operations

POSITIONS SUPERVISED: Billing team staff, including the Eligibility and Credentialing Specialist and COMCARE Billing Specialist

POSITION OVERVIEW:

The Billing Supervisor oversees the agency’s billing and revenue cycle operations, including internal billing staff and the outsourced revenue cycle management (RCM) vendor. The position ensures accurate and timely billing, resolution of discrepancies and denials, collection of aging accounts, and effective eligibility, authorization, and provider credentialing workflows. The Billing Supervisor partners with the Director of Operations, Finance, clinical leaders, and community partners to maintain compliance, improve revenue cycle performance, and support reliable billing systems and financial reporting.

ESSENTIAL POSITION RESPONSIBILITIES:

1. Strategic & Mission-Aligned Leadership

• •Establishes billing priorities and performance expectations aligned with agency services, payer requirements, contractual obligations, and organizational goals.
• •Analyzes reimbursement patterns, denial trends, aged accounts receivable, and other revenue cycle data to identify improvement opportunities and implement effective processes.
• •Supports billing initiatives and special projects, evaluates workflow and system changes, and recommends improvements to the Director of Operations.

2. People Leadership & Culture

• •Supervises, mentors, trains, and evaluates billing team staff, including the Eligibility and Credentialing Specialist and COMCARE Billing Specialist; provides daily guidance on billing, collections, payment applications, and workflow priorities.
• •Establishes clear expectations, monitors performance, provides coaching and development, and addresses performance concerns and disciplinary matters in coordination with Human Resources and the Director of Operations.
• •Builds a collaborative, accountable team; coordinates work assignments, required meetings and trainings, and coverage during absences to maintain reliable billing operations.

3. Operational & Financial Stewardship

• •Oversees timely and accurate billing, payment application, collections, and claims follow-up across internal staff and the outsourced RCM vendor; ensures billing reflects services rendered and payer requirements.
• •Holds the outsourced RCM vendor accountable to contractual service level agreements, including clean claim rates, days in accounts receivable, and net collections; monitors performance and escalates unresolved deficiencies.
• •Oversees insurance eligibility and benefits verification and behavioral health authorization workflows, ensuring required approvals are secured before service delivery; assists with prior authorizations as needed.
• •Oversees proactive provider enrollment and re-credentialing with commercial payers, Medicare, and Medicaid to prevent billing gaps.
• •Manages aged accounts receivable and ensures timely follow-up on unpaid claims, including written and verbal correspondence; implements collection procedures and escalates unresolved issues.
• •Oversees billing, reporting, and invoicing workflows for community partners and contractors, including COMCARE-related billing.
• •Maintains billing components within the agency’s electronic health record system, including charge codes, the billing matrix, and service types.
• •Reconciles vendor-reported cash collections and adjustments against internal bank deposits and general ledger records in coordination with Finance; investigates and resolves discrepancies.
• •Prepares monthly accounts receivable days reports, write-off reports by department and code for billing meetings, and month-end revenue cycle reports for finance leadership.

4. Quality, Compliance & Risk Management

• •Ensures billing practices meet applicable payer, contractual, agency, and regulatory requirements and protects confidential information in accordance with HIPAA and agency policies.
• •Maintains current knowledge of behavioral health coding and billing requirements, including H-codes, interactive complexity, and telehealth requirements; provides guidance to staff and coordinates with the vendor.
• •Reviews and analyzes explanations of benefits to identify reimbursement issues, denial patterns, and opportunities to improve billing accuracy and collections.
• •Identifies systemic denials, high-volume payer rejections, coding disputes, and other billing risks; coordinates corrective action and monitors resolution with the vendor, staff, and Director of Operations.
• •Maintains accurate billing records, reconciliations, and reports and supports continuous improvement of billing controls and workflows.

5. Collaboration & Stakeholder Leadership

• •Serves as the primary internal contact for the outsourced RCM vendor, resolving workflow barriers and escalating complex or unresolved concerns to the Director of Operations.
• •Partners with clinical directors, Finance, other departments, and external community stakeholders to streamline cross-organizational billing workflows and resolve service, eligibility, authorization, and credentialing issues.
• •Serves as the agency’s billing subject matter expert, providing technical assistance and communicating billing requirements, changes, and performance findings to appropriate stakeholders.
• •Collaborates with the Director of Operations on complex billing discrepancies and issues involving COMCARE and insurance carriers.
• •Other duties as assigned by supervisor.

ORGANIZATION STANDARDS:

Professionalism and Communication

Demonstrates clear, respectful, and professional communication in both verbal and written interactions, with a focus on collaboration and solution-oriented dialogue. Shares information responsibly and addresses concerns constructively while maintaining a positive, professional demeanor—even in challenging situations.

Time & Priority Management

Effectively manages workload by prioritizing tasks, planning proactively, and addressing challenges to meet deadlines and responsibilities. Maintains a solution-focused approach and professional composure while balancing competing priorities.

Reliability & Accountability & Ownership

Demonstrates dependability by consistently meeting commitments, deadlines, and responsibilities while taking ownership of work and outcomes. Acts with integrity, follows through on obligations, and addresses mistakes proactively to support a culture of accountability and trust.

Adaptability and Change Agility

Demonstrates adaptability by embracing new processes, priorities, and organizational changes with resilience and a willingness to learn. Adjusts work approaches as needed and supports others through change with a constructive, solution-focused mindset.

Organizational Alignment and Mission Focus

Demonstrates behaviors aligned with the organization’s mission, values, and professional standards while supporting goals and initiatives through actions and attitude. Consistently follows policies and ethical guidelines, maintains confidentiality, and contributes to a culture of professionalism, respect, and service.

Requirements

POSITION REQUIREMENTS:

• •High school diploma or equivalent required; some college coursework in accounting preferred.
• •Minimum of five (5) years of medical billing and collections experience in a healthcare environment required.
• •Behavioral health insurance experience preferred.
• •Prior supervisory or team leadership experience strongly preferred.
• •Proficiency in medical terminology, coding, and insurance claims processing required.
• •Proficiency in electronic health record systems and Microsoft Office, including Excel and Word, required.
• •Ability to oversee outsourced billing workflows, analyze revenue cycle performance, and coordinate eligibility, authorization, and credentialing processes.
• •Effective communication, organization, problem-solving, and attention to detail; ability