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 &…