Reimbursement Billing Supervisor

Prince William County Community Services (CS) is seeking an experienced, collaborative, and results-driven Fee Billing Supervisor to lead our Behavioral Healthcare Reimbursement team. We are a large, community-based behavioral health organization dedicated to providing high-quality services while ensuring accurate, timely, and compliant reimbursement for the care we provide.

This leadership position supervises eight (8) reimbursement professionals and is responsible for overseeing the insurance accounts receivable process and the daily import of electronic payments into the agency's Electronic Health Record (EHR) for all Outpatient and Community Mental Health Rehabilitative services. The Fee Billing Supervisor plays a critical role in ensuring the integrity of the revenue cycle, maximizing reimbursement, maintaining regulatory compliance and supporting the financial health of the organization.

The Fee Billing Supervisor provides day-to-day leadership and oversight of the behavioral health revenue cycle, ensuring efficient billing operations, timely collections, and compliance with all federal, state, Medicaid, Medicare, Managed Care Organization (MCO), commercial insurance, and payer requirements.

• Supervise, mentor, train, and evaluate a team of eight reimbursement professionals through regular supervision, coaching, performance management, and annual evaluations.
• Plan, prioritize, and assign staff work to ensure timely, accurate billing, reimbursement, and account collection activities.
• Oversee all billing operations, including medical coding, charge entry, claims submission, payment posting, accounts receivable management, denial resolution, and reimbursement activities.
• Manage the daily import and reconciliation of electronic payments into the EHR, ensuring accurate posting and client account updates.
• Monitor clearinghouse activity and insurance payer portals to identify claim issues, payment variances, and reimbursement opportunities.
• Review electronic payment distribution, claims submissions, and reimbursement activities to ensure accuracy, completeness, and timeliness.
• Analyze billing transactions, claims, and payment activity to ensure accurate coding, complete documentation, and timely reimbursement.
• Review unworked claim edits, claim rejections, and denied claims; identify trends, determine root causes, and implement corrective actions to improve reimbursement outcomes.
• Monitor billing matrix errors, denial trends, and unpaid services while collaborating with staff and program leadership to resolve recurring issues.
• Oversee aged accounts receivable to ensure timely follow-up, timely collection efforts, and reduction of outstanding balances.
• Oversee the Medicaid authorization process to ensure authorizations are requested, tracked, and submitted within required time frames.
• Prepare, analyze, and present accounts receivable, aging, clearinghouse, debt collection, reimbursement, and other financial reports in collaboration with the Revenue Business Services Administrator.
• Compile and analyze statistical and financial data required for agency leadership, federal and state reporting, and payer compliance.
• Complete monthly financial reconciliations between the EHR and the County financial system.
• Audit daily deposits and reimbursement transactions to ensure financial accuracy and accountability.
• Prepare monthly financial and operational reports for agency leadership.
• Participate in recurring meetings with Virginia Medicaid, Managed Care Organizations (MCOs), commercial insurance representatives, and other payers to address contract performance, billing compliance, reimbursement issues, and claims denials.
• Evaluate revenue cycle processes for effectiveness and efficiency, recommending and implementing process improvements that enhance billing accuracy, strengthen internal controls, improve staff productivity, and maximize reimbursement.
• Stay current on changes to Medicaid, Medicare, commercial insurance, and other payer regulations, ensuring agency compliance with evolving billing requirements.
• Provide guidance and technical assistance to reimbursement staff, program managers, clinicians, and administrative personnel regarding billing requirements, documentation standards, coding, reimbursement policies, and regulatory compliance.
• Ensure agency compliance with all applicable federal, state, local government, Medicaid, Medicare, and payer billing regulations, policies, and contractual…