Billing Supervisor

The Billing Supervisor is responsible for the day-to-day supervision of billing staff and oversight of claim submission and early follow-up activities for assigned payer lines of business. Each supervisor manages a defined payer portfolio to ensure timely, accurate, and compliant billing, strong clean-claim performance, and effective denial prevention and resolution.

• Billing Supervisor – Commercial & UHC: Primary responsibility for United Healthcare (all UHC lines of business, including commercial and managed care products). Oversight of all non-government, non-BCBS/Anthem commercial payers, including other national and regional plans, self-funded groups, and related commercial lines of business.
• Billing Supervisor – Government & BCBS/Anthem: Primary responsibility for all government payers, including Medicare, Medicaid, Medicare Advantage, Medicaid managed care plans, and other government-funded programs. Oversight of all BCBS and Anthem lines of business, including state and national BCBS plans and Anthem-branded products.

• Team Leadership: Supervise, train, and evaluate billing staff performance, including assigning work, monitoring productivity, and providing regular feedback and coaching.
• Revenue Cycle Management: Monitor accounts receivable (A/R) and oversee timely, accurate submission of claims to all payers, ensuring adherence to payer filing limits and organizational standards.
• Compliance and Auditing: Ensure compliance with federal, state, and payer-specific regulations, including HIPAA, and perform regular internal audits of billing activity to identify and correct issues.
• Denial Management: Analyze claims data and denial trends, resolve complex billing issues, and partner with Denials/Follow-up and Patient Access teams to reduce preventable denials and billing errors.
• Reporting: Prepare and distribute monthly financial and statistical reports on billing performance, A/R metrics, denial trends, and clean-claim rates for management review.
• Oversee the medical billing process from claim generation through submission and clearinghouse edits, ensuring claims are submitted accurately and within required time frames.
• Collaborate with Charge Entry & EDI to identify root causes of recurring billing issues, including coding, modifiers, units, enrollment, and benefit setup, and implement sustainable workflow and system fixes.
• Assist with payer and internal audits by preparing billing documentation, reports, and responses and ensuring billing practices align with payer contracts and organizational policies.
• Develop, update, and enforce standard operating procedures and desk-level workflows for the billing team, emphasizing standardization across sites and payers.
• Provide subject-matter expertise and escalation support for complex account issues, coordination of benefits, and multi-payer scenarios.
• Participate in or lead special projects related to system upgrades, payer implementations, new site or service go-lives, and integration of acquired entities into standard billing workflows.
• Perform other related duties as assigned to support Revenue Cycle and organizational goals.

• Directly supervises a team of Senior Billers.
• Responsible for hiring, onboarding, training, attendance, performance evaluations, and corrective actions for assigned staff.
• Helps foster a high-performing, collaborative culture focused on accuracy, throughput, accountability, and continuous improvement.

• Experience: Minimum 5+ years of medical billing experience, including at least 2 years in a supervisory or lead role strongly preferred.
• Technical Knowledge: Expert knowledge of medical billing workflows, including ICD-10, CPT, HCPCS, modifier application, NDC…