Billing Supervisor

Job Summary

The Billing Supervisor serves as the operational and technical lead for day-to-day billing functions while supporting the organization’s existing financial leadership structure. This role is responsible for overseeing claims submission, payment posting, denials management, and open balances, while providing guidance, training, and quality control for billing staff.

As billing volume, payer requirements, and regulatory complexity continue to increase, the Billing Supervisor plays a key role in ensuring consistency, accuracy, and compliance across billing operations. This position strengthens operational continuity and serves as a steady escalation point for complex billing scenarios, trends, and risks, which are communicated to the Director of Finance.

This is a stable, hands‑on leadership role designed for an experienced billing professional who thrives in execution, oversight, and team support within an established organizational framework.

• Oversee daily claims submission across all entities, ensuring claims are clean, accurate, and compliant with payer‑specific guidelines.
• Monitor and manage claim rejections, denials, and Open Zero Payments (OZP), ensuring timely resolution and appropriate escalation.
• Ensure daily release and posting of ERAs and physical remittances with a target accuracy of 95% or greater.
• Maintain oversight of patient balances, refunds, adjustments, and credit balances to ensure ledger integrity.

• Serve as the primary day‑to‑day supervisor and resource for Billing Coordinators.
• Review work output for accuracy, completeness, and compliance; provide coaching and corrective guidance as needed.
• Assist with onboarding and training of new billing staff, including workflows, payer rules, and internal standards.
• Act as escalation point for complex billing scenarios, payer issues, and system limitations.

• Prepare and review daily and weekly billing and AR reports, including aging, denials, accounts without payment, and OZP activity, in alignment with existing reporting structures.
• Identify trends, risks, and opportunities for improvement, communicating findings and recommendations to the Director of Finance.
• Support recurring and ad‑hoc reporting needs for leadership, ensuring consistency and reliability of data.

• Serve as a liaison between billing, front office, and clinical teams to resolve documentation, authorization, and coding issues.
• Support education of clinical staff related to billing requirements, time‑based services, and documentation accuracy.
• Assist with payer communications, including medical records requests, appeals support, and eligibility‑related follow‑up.

• Ensure billing practices comply with federal, state, and payer‑specific regulations.
• Support audits and internal reviews related to billing accuracy and reimbursement integrity.
• Maintain organized, accurate billing records across all service lines, including DME where applicable.

• Identify recurring issues or inefficiencies within existing billing workflows and recommend incremental improvements.
• Assist the Director of Finance with standardizing processes, documenting workflows, and implementing updates related to payer rules or system changes.
• Support operational continuity by reinforcing best practices and ensuring changes are communicated clearly to billing staff.

• Submission of at least 90% of finalized claims within established daily deadlines.
• Resolution or documented action on OZP EOBs within one week of receipt.
• ERA release completed within the first hour of the workday; posting completed daily.
• Timely escalation of unusual denials, payer issues, or compliance risks to the Director of Finance.

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• Minimum 35 years of hands‑on medical billing experience, preferably in therapy or multipayer environments.
• Demonstrated experience with claims submission, denials management, ERAs, and patient balance workflows.
• Strong working knowledge of ICD
  10 coding and time‑based billing concepts.
• Experience supervising or mentoring peers strongly preferred.
• Proficiency in billing systems (e.g., WebPT Billing) and Microsoft Office.

• Highly detail‑oriented with strong analytical skills.
• Able to manage multiple priorities and shifting workloads.
• Clear, professional communicator with clinical and administrative staff.
• Calm, solutions‑focused approach to complex billing scenarios.
• High ethical standards and commitment to compliant billing practices.

• Ability to read, write, hear, and communicate effectively.
• Ability to work at a computer for extended periods.
• Ability to move throughout the facility as needed.

Other duties as assigned.