medical billing supervisor

Guidehouse Managed Services

<div>Job Family:
Business Operations 
Travel Required:
None 
Clearance Required:
None
What You Will Do:
The Medical Billing Supervisor is responsible for the daily operations of billing and works closely with Information Systems, Medical Records, Patient Access and all Ancillary Departments to ensure compliance/ regulatory and accuracy of all billings. This position is responsible for the supervision of billers, billing systems and billing processes. The Billing Supervisor reports directly to an Operations Manager or Director level position and may perform any and all related job duties as assigned.
Essential Job Functions<ul><li>
Leadership / Training</li><li>
Medical Billing</li><li>
Compliance &amp; Account Accuracy</li><li>
Reporting</li><li>
Compliance/ Regulatory Billing Knowledge</li></ul>
Leadership and Training:<ul><li>
Acts and leads in a manner that will instill trust and foster team play.</li><li>
Ensures that all employees know and understand all State and Federal Rules and Regulations.</li><li>
Provide a working environment which allows employees to communicate ideas for improvement to department. Whenever possible request employee input on policies and procedures that may affect or impact the way their job is performed.</li><li>
Maintain open communications and provide appropriate feedback.</li><li>
Allow employees to attend seminars which will enhance productivity and knowledge.</li><li>
Ensures employees have all the tools necessary to achieve the goals set.</li><li>
Hire and develop staff as departmental needs dictate.</li></ul>
Billing:<ul><li>
Works with all departments to ensure accuracy of all relevant billing material and Revenue Codes.</li><li>
Provide departments with Medicare and other payer updates, notices and coverage changes which effect both billing and reimbursement.</li><li>
Reviews billing process and systems to ensure the most effective methods are maintained to meet both departmental and facility goals.</li><li>
Institutes changes in techniques and processes as necessary.</li><li>
Works with IT to ensure that all UB/837/HCFA1500 changes are completed to ensure accuracy of billing is maintained.</li><li>
Ensures bill hold in electronic systems meets established goal.</li><li>
Works with Ancillary Departments, Patient Access, Medical Records and Information Systems to ensure clean claim rate meets established goals.</li><li>
Works with both electronic billing vendor and payers to resolve billing issues.</li><li>
Ensures that employees have access to all tools.</li><li>
Reviews 2% of billings for both quantity and quality.</li><li>
Provide both positive and negative feedback to employees regarding review.</li></ul>
Compliance:<ul><li>
Communicates all compliance issues to Manager.</li><li>
Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA.</li><li>
Attends pertinent seminars, internal and external and shares obtained information with staff and other appropriate departments.</li><li>
Reviews and maintain all requirements for billing.</li></ul>
Reporting:<ul><li>
Responsible for the weekly Key Indictor Reports and Accomplishments Reports which are due on a weekly basis.</li><li>
Medi.com billing error report to departments daily.</li><li>
Maintain logs by department for claims in Medi.com hold status.</li><li>
Daily electronic and paper claim report.</li><li>
Other reports as requested by management.</li><li>
Weekly report of Late Charge to Departments.</li></ul> 
What You Will Need:<ul><li>
Requires a Bachelors Degree and a minimum of 5 years of prior relevant experience or an AA degree and a minimum of 7 years' experience. (Relevant experience may be substituted for formal education or advanced degree).</li><li>
Experience can come from medical billing, eligibility, financial counseling patient access or insurance verification within a healthcare provider, payor or outsourcing company.</li><li>
A minimum of two years of people leadership experience is required.</li></ul>
What Would Be Nice To Have:<ul><li>
Previous experience installing/utilizing Relay Health ePremis claims scrubber preferred.</li><li>
PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel is essential.</li><li>
Excellent verbal and written communication skills.</li><li>
Ability to initiate and follow through on projects and work independently with minimal supervision required.</li><li>
Previous staff supervisory experience a plus</li></ul>
#IndeedSponsored
The annual salary range for this position is $74,000.00-$124,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. 
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:<ul><li>
Medical, Rx, Dental &amp; Vision Insurance</li><li>
Personal and Family Sick Time &amp; Company Paid Holidays</li><li>
Position may be eligible for a discretionary variable incentive bonus</li><li>
Parental Leave</li><li>
401(k) Retirement Plan</li><li>
Basic Life &amp; Supplemental Life</li><li>
Health Savings Account, Dental/Vision &amp; Dependent Care Flexible Spending Accounts</li><li>
Short-Term &amp; Long-Term Disability</li><li>
Tuition Reimbursement, Personal Development &amp; Learning Opportunities</li><li>
Skills Development &amp; Certifications</li><li>
Employee Referral Program</li><li>
Corporate Sponsored Events &amp; Community Outreach</li><li>
Emergency Back-Up Childcare Program</li></ul>
About Guidehouse
Guidehouse is an Equal Opportunity Employer&ndash;Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse&rsquo;s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant&rsquo;s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.</div>

Supervisor, Medical Billing

Physicians Revenue Group

Key Responsibilities<ul><li>Supervise and manage the daily activities of the AR team to ensure productivity targets and collection goals are consistently achieved.</li><li>Monitor insurance claims, denials, aging reports, and unpaid accounts to ensure timely follow-up and maximum reimbursement.</li><li>Lead the denial management process by identifying root causes, coordinating appeals, and implementing corrective actions to reduce recurring denials.</li><li>Ensure accurate and timely submission of medical claims while verifying patient demographics, insurance eligibility, and billing information.</li><li>Train, mentor, and evaluate AR representatives by conducting regular performance reviews, providing feedback, and implementing development plans.</li><li>Handle escalated billing issues, insurance disputes, and complex payer communications professionally and efficiently.</li><li>Prepare and analyze AR performance reports including aging summaries, collection ratios, denial trends, productivity reports, and monthly KPIs.</li><li>Ensure compliance with HIPAA regulations, payer guidelines, and internal billing policies to maintain operational accuracy and confidentiality.</li><li>Coordinate with other departments including Credentialing, Charge Entry, Payment Posting, and Quality Assurance to streamline revenue cycle operations.</li><li>Identify workflow gaps and implement process improvement strategies to increase collection efficiency and reduce account receivable days.</li><li>Maintain expertise in medical billing software, insurance portals, CPT/ICD coding updates, and industry best practices.</li><li>Monitor team attendance, shift management, task allocation, and operational discipline within the department.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>How would you rate your communication skill out of 5?</li><li>Are you available for working at 07:oo pm to 04:00 am ?</li><li>How many Years experience do you have in AR?</li><li>How many Espeaclity Do you have work?</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Work Location: In person

AR Supervisor - Medical Billing

Your Therapy Billing

<div>Locally owned and operated medical billing company looking to add an additional Medical Billing Office Assistant to take on a variety of day-to-day medical billing-related office and clerical tasks. In this role, you are integral in ensuring that our office operations run smoothly and that our other business activities are supported successfully. 
Candidates must possess the ability to:
<ul>
<li>Comprehend and make inferences from written material.</li>
<li>Create logical, organized email communications.</li>
<li>Understand and follow written and verbal directions.</li>
<li>Perform clerical duties with speed and accuracy and without immediate and constant supervision.</li>
<li>Communicate professionally and effectively with all team members and clients.</li>
<li>Comfortable explaining patient balances and financial responsibility.</li>
<li>Prioritize and follow up on completion of tasks.</li>
<li>Maintain discretion and adhere to all confidentiality and HIPAA guidelines when dealing with highly confidential information.</li>
<li>Use considerable judgment to resolve problems and make recommendations.</li>
<li>Adapt to a demanding, fast-paced, constantly evolving environment while maintaining organization and high level of detail.</li>
<li>Attend virtual team meetings.</li></ul> 


Specific Job Requirements

In this position, your daily responsibilities include: 

<ul>
<li>Communicating with patients and clients by phone and email.</li>
<li>Explaning balance details and insurance coverage confidently and clearly to patients.</li>
<li>Creating invoices and processing customer payments. 
</li>
<li>Creating and updating records to ensure accuracy and validity of information.</li>
<li>Managing claims submissions for ad-hoc processes like worker's comp and local government assistance programs.</li>
<li>Sorting and distributing communications in a timely manner.</li>
<li>Handling multiple projects and tasks simultaneously&ndash;multitasking is a must! 
</li>
<li>Identifying and escalating opportunities for process improvements to the management team.</li>
<li>Assist Credentialing Associate in tasks.</li></ul> 


Required Job Qualifications

Work is performed with considerable independence in accordance with established regulations, policies, and procedures in a coordinated effort with Account managers. Candidates are required to have the following qualifications: 
<ul>
<li>
Strong communication skills, both verbally and written</li>
<li>Medical billing experience and previous experience working with an electronic medical system strongly preferred</li>
<li>Strong knowledge of explanation of benefits (EOBs), account reconciliation, claims review, and aged receivables follow-up with patients</li>
<li>Experience with commercial insurances, private carriers, HMOs, Medicaid, and Medicare</li>
<li>High school diploma or equivalent</li>
<li>Knowledge of Google Drive, Google Sheets, Google Docs, and Gmail</li>
<li>A Microsoft Windows PC with access to high-speed internet during office hours</li></ul> 


About the Job

Job Types: Full-time, W-2. M-F 9 AM - 5 PM - Remote

Salary: $18-21 hourly based on experience 
Upon conclusion of training, this position will require you to work between the hours of 9 am &amp; 5 pm EST.

Benefits:
<ul>
<li>Flexible schedule</li>
<li>15 Paid time off and federal holidays</li>
<li>Potential performance bonuses</li>
</ul>
We appreciate your interest and look forward to reviewing your application.</div>

Remote Medical Billing Office Manager

Doctors Urgent Care Group

Job Summary:The Medical Billing Quality Assurance Officer is responsible for executing internal audit protocols across the medical billing and coding lifecycles. This professional monitors charge capture, claim form fields, modifier placements, and Accounts Receivable (AR) follow-up processes to ensure strict alignment with CMS guidelines, HIPAA regulations, and payer-specific policies. By analyzing error trends and delivering targeted coaching, the QA Officer actively minimizes claim denials, lowers Days Sales Outstanding (DSO), and shields the healthcare organization from structural compliance risks.Core Duties and Responsibilities:<ul><li>Routine Claims &amp; Process Audits: Conduct random and targeted internal audits on submitted claims, payment postings, and patient statements across multiple source systems (EHR/Billing software) to measure accuracy against established Service Level Agreements (SLAs).</li><li>Code Verification &amp; Compliance Tracking: Validate that applied ICD-10-CM, CPT, and HCPCS codes accurately reflect the clinical documentation. Screen pre-submission claims for upcoding, undercoding, unbundling errors, and missing modifiers using NCCI (National Correct Coding Initiative) edits.</li><li>Denial &amp; Rejection Root-Cause Analysis: Review clearinghouse rejections and insurance denials to pinpoint structural workflows or system glitches. Trend the data by team or individual to implement long-term corrective action plans.</li><li>Staff Feedback &amp; Coaching: Package audit metrics into clear, actionable reporting dashboards. Conduct standard calibration sessions and retraining with medical billers, coders, and AR specialists to reduce performance deficiencies.</li><li>Payer Guideline Management: Maintain an updated knowledge base of evolving state/federal regulations (Medicare, Medicaid) and commercial insurance policies. Ensure internal Standard Operating Procedures (SOPs) are updated to match quarterly code changes.</li><li>AR and Ledger Integrity Reviews: Meticulously review accounts receivable follow-up records to confirm that staff are properly appealing denials, managing outstanding balances ethically, and applying payment plans appropriately.</li></ul>Required Skills and Qualifications:<ul><li>In-Depth RCM Expertise: Comprehensive understanding of the end-to-end insurance claim lifecycle, commercial/government clearinghouse procedures, and medical terminology.</li><li>Advanced Coding Literacy: High proficiency interpreting guidelines within ICD-10-CM, CPT, and HCPCS codebooks, alongside a firm grasp of payer-specific bundling rules.</li><li>Data-Driven Analysis: Strong analytical mindset with the ability to define distinct billing problems, extract performance data, establish root causes, and draw objective conclusions.</li><li>Communication &amp; Collaboration: Diplomatic, plain-language interpersonal communication style. Able to deliver constructive performance evaluations to staff and translate technical compliance data clearly to leadership.</li><li>Software Proficiency: Hands-on experience navigating enterprise Electronic Health Record (EHR) databases and industry-standard billing platforms (e.g., Epic, Cerner, eClinicalWorks) alongside advanced proficiency in MS Excel for auditing logs.</li></ul>Education and Experience Requirements:<ul><li>Education: Associate&rsquo;s or Bachelor&rsquo;s degree in Healthcare Administration, Finance, Business, or a closely related field (or equivalent verified experience).</li><li>Experience: Minimum of 2 years of direct experience in medical billing, coding, or healthcare data auditing. Proven experience in an auditing or supervisory capacity is heavily preferred.</li></ul>Pay: Rs100,000.00 - Rs150,000.00 per monthWork Location: Remote

Medical Billing Quality Assurance (QA) Officer

* Prepare, review, and submit medical claims to insurance companies.* Ensure all billing information is accurate and complete before claim submission.* Verify patient demographics, insurance details, and billing codes.* Follow payer guidelines and billing regulations to reduce claim rejections.* Maintain daily productivity and quality targets.* Coordinate with the AR and QA teams for claim corrections or resubmissions.* Update billing records in the system and maintain proper documentation.* Identify and report billing issues or discrepancies to the supervisor.Job Type: Full-timeApplication Question(s):<ul><li>How would you rate your communication skill out of 5?</li><li>Are you available for working at 07:oo pm to 04:00 am ?</li><li>How many Years experience do you have in Medical Billing ?</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>2year: 1 year (Required)</li></ul>Work Location: In person

Billing Executive - Production

Bayhealth

<div>
 
 Location: Kent Campus Hospital
 
 
 
 
 Status:
 
 Full Time 80 Hours
 
 
 
 Shift:
 
 Days
 
 
 
 SALARY RANGE:
 
 22.09 - 33.47HOURLY
 
 
 
 General Summary:
 
 
 
 Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of encounters information and prepare the encounter for submission. Abstract clinical information from a variety of medical records charts and documents and assigns appropriate DX and/or CPT-4 codes. Work with WQ or per supervisor instructions. Correct errors and denials from WQ or from other sources. Maintain AR processes to achieve organization&rsquo;s goals.
 
 
 
 Responsibilities:
 
 
 
 <ul>
 <li>
 Review and analyze records to identify and correct errors.
 </li>
 <li>
 Prepare encounter and code correct medical billing claims generated from the EMR to bill insurance carriers or other parties.
 </li>
 <li>
 Submit the claims correctly from the first time.
 </li>
 <li>
 Determine the correct encounters code from patient records. Codes data from patient records. Manage detailed, specifically coded information. When needed, abstracts data from patients&rsquo; medical records to maintain full diagnosis coding and charges capture.
 </li>
 <li>
 Interact with physicians and assistants to ensure accuracy. As needed, responds to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
 </li>
 <li>
 Track patient data over multiple visits.
 </li>
 <li>
 Maintain line of communication with your providers, auditing and providing training as needed.
 </li>
 <li>
 Identifies and verifies documentation and coding complacencies.
 </li>
 <li>
 Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.
 </li>
 <li>
 Maintain A/R goals and daily A/R functions. Responsible for any revenue cycle issues due to medical billing issues.
 </li>
 <li>
 Correct error and denials from designated WQ.
 </li>
 <li>
 Participate in department meetings. Participate in training sessions or webinars per supervisor request.
 </li>
 <li>
 All other duties as assigned, within the scope and range of job responsibilities.
 
 
 </li>
 </ul>
 
 Required Education, Credential(s) and Experience:
 
 
 
 <ul>
 <li>
 Education: High School Diploma or GED
 </li>
 <li>
 Credential(s): Certified Professional Coder; Or equivalent (Certified Coding Specialist certification, Registered Health Information Technician, or Registered Health Information Administrator)
 </li>
 <li>
 Experience: Required: 2 years&rsquo; experience in medical billing at EMR and PM environment from billing to A/R
 
 
 </li>
 </ul>
 
 Preferred Education, Credential(s) and Experience:
 
 
 
 <ul>
 <li>
 Education:
 </li>
 <li>
 Credential(s):
 </li>
 <li>
 Experience: Preferred: 3-6 years&rsquo; experience with full medical billing functions
 
 
 </li>
 </ul>
 To view a full list of all open position at Bayhealth, please visit:
 
 
 https://apply.bayhealth.org/join/
</div>

Medical Biller/Certified Coder

MCS HEALTHCARE HOLDINGS, LLC

<div>Evaluador(a) De Perfiles De Salud 
Regular
Non-Exempt 
GENERAL DESCRIPTION:
Responsible for evaluating CHRA (Comprehensive Health Risk Assessment) forms received from Classicare policyholders and coding the documented clinical information according to the guidelines established by the Unit.
ESSENTIAL FUNCTIONS:<ul><li>Performs coding of diagnoses documented in the CHRA (Comprehensive Health Risk Assessment) and registers the data into the appropriate application. Identifies and informs the Supervisor about areas of opportunity to avoid errors that reduce rejected data and may represent a risk to compliance with established coding guidelines.</li><li>Works on post-payment audits of adjudicated claims based on the information contained in the Comprehensive Health Risk Assessment comparing it to the information required, following the operational guidelines established by the unit.</li><li>Generates referrals throughthe electronic app used in the Unit with providers and/or billing representatives, related to CHRA document management, to guide them and/or request correction of medical diagnoses due to incorrect coding, and inadequate, ambiguous, or incomplete medical documentation.</li><li>Process adjustments received for corrections in the CHRA, following the established operational guidance.</li><li>Identifies claims that require the support of the Claims and/or Providers department to be processed.</li><li>Provides weekly, monthly, and quarterly reports to the supervisor on audits performed as required.</li><li>Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.</li><li>May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.</li></ul>
Minimum Qualifications:
Education and Experience: Two (2) years of college education equivalent to sixty (60) approved credits from an accredited university or an Associate degree. At least one (1) year of medical billing experience with ICD-9 and ICD-10 coding.
OR
Education and Experience: Associate Degree in Health Information Management Technology from an accredited university. At least six (6) months of experience performing clinical billing and coding processes.
&ldquo;Proven experience may be replaced by previously established requirements.&rdquo;
Certifications / Licenses: A valid Medical Billing Certification and/or ICD-9, ICD-10, and/or other health-related Certifications are preferred.
Other: Knowledge of medical billing processes and ICD-9-CM, ICD-10-CM coding.
Languages:
Spanish &ndash; Intermediate (comprehensive, writing and verbal)
English &ndash; Intermediate (comprehensive, writing and verbal) 
&ldquo;We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities.&rdquo;</div>

Evaluador(a) De Perfiles De Salud

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