Medical Records Biller V-Supervisor
Oklahoma City, Oklahoma County, Oklahoma, 73116, USA
Listed on 2026-07-13
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Healthcare
Medical Billing and Coding, Healthcare Administration
Overview
Koniag Advisory Business Solutions (KABS), a Koniag Government Services company, is seeking a Medical Records Biller V‑Supervisor to support KABS and its government customer in Oklahoma City, OKC. The position requires obtaining a Public Trust.
This role is covered under the Service Contract Act and offers competitive compensation plus a comprehensive benefits package: health, dental and vision insurance; 401(k) with company matching; paid holidays; paid vacation; paid sick leave and more.
Work Schedule and Hybrid ConditionsThis hybrid position is based at 701 Market Dr, Oklahoma City, OK 73114. The project kick‑off is July 1. During the first few weeks of onboarding, employees are required to work on site full‑time, Monday‑Friday, 8:00 a.m. to 5:00 p.m. CT.
Core hours are generally 9:00 a.m. CT to 3:00 p.m. CT, with start and end times determined by the Program Manager. Hours may flex based on client needs.
Based on demonstrated proficiency and performance, employees may become eligible for telework, a temporary privilege subject to change.
Telework Requirements- Maintain a dedicated, secure home office workspace.
- Maintain a reliable high‑speed internet connection.
- Reside within a reasonable commuting distance of Oklahoma City.
- Report to the office at least twice every two weeks and more often as needed.
- Directly supervise billing staff, including Medical Biller IV (Lead) and Medical Biller III personnel, while maintaining hands‑on responsibility for complex billing work.
- Oversee accurate and timely preparation and submission of outpatient and inpatient claims to third‑party payers, intermediaries, and responsible parties.
- Monitor daily claim inventory, export queues, productivity reporting, and aging issues to ensure work is completed within policy time frames.
- Oversee responses to post‑payment reviews, exclusions, denials, appeals, and medical reviews and ensure appropriate supporting documentation is assembled.
- Review unbillable claims, identify recurring barriers to billing, and implement corrective actions or escalations.
- Ensure electronic billing transmissions are HIPAA compliant, reconciliation processes are completed, and recurring errors are addressed at the process level.
- Promote continuing education, policy awareness, and self‑development across the billing team.
- Oversee qualitative and quantitative review of records to confirm diagnoses, provider signatures, attestation requirements, dates of service, and other documentation required to support compliant billing.
- Serve as the senior escalation point for documentation discrepancies, eligibility issues, and payer‑related verification problems.
- Guide staff in obtaining authorizations, release forms, benefits assignments, and pre‑certification materials needed for claims processing.
- Coordinate with providers, benefits staff, utilization review, admitting, and other departments to resolve problems before claims are transmitted.
- Ensure appropriate referrals are made to Benefits Coordination or Social Services when patients may qualify for additional coverage resources.
- Oversee review of patient records, claim forms, coding‑related billing data, E&M support, and inpatient and outpatient billing workflows.
- Validate that UB‑04, CMS‑1500, and other required claim forms accurately reflect services rendered and meet payer and internal control requirements.
- Lead denial management, rebilling, correction of rejected or suspended claims, and appeal support for complex accounts.
- Monitor inpatient census, ADT‑related workflow issues, and utilization‑review coordination affecting billing and reimbursement.
- Maintain oversight of account documentation, message‑field activity, and status tracking in RPMS or other approved systems.
- Support establishment of day‑to‑day billing procedures, files, tickler systems, and status controls and recommend process improvements to management.
- Ensure special projects and reporting assignments are completed within required timelines.
- Maintain senior‑level communication with payer organizations, fiscal…
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