Medical Billing Assistant Supervisor

Position Summary

The Mental Health / Medical Billing Supervisor oversees the agency’s third-party billing and reimbursement processes to ensure accurate billing, timely reimbursement, and excellent customer service. This role provides leadership and supervision to the authorization and billing team, partners closely with the Revenue Cycle Manager, and ensures consistent training and adherence to billing and authorization standards across the agency.

This role is primarily onsite, with limited hybrid opportunities based on operational needs and performance.

Responsibilities

Third-Party Billing & Reimbursement (40%)

• The Billing Assistant Supervisor leads and supports billing and reimbursement operations, including:
• Develop, implement, and maintain billing processes and internal controls to ensure accurate, timely billing and payment cycles, including quality assurance (QA) and credentialing procedures
• Collaborate closely with the Revenue Cycle Manager to oversee billing, authorization, and reimbursement workflows
• Supervise and answer day-to-day questions regarding insurance eligibility verification, authorizations, credentialing, third-party and client billing, payment posting, and QA processes; provide backup support as needed
• Maintain current knowledge of healthcare billing rules, regulations, and CPT coding requirements
• Establish and maintain effective working relationships with insurance payers and follow up on claims, authorization issues, and contract-related concerns as needed
• Identify billing trends, issues, or risks and proactively escalate concerns to the Revenue Cycle Manager with recommended solutions
• Develop and implement strategies to reduce large or aging accounts receivable balances
• Complete and/or monitor weekly and monthly QA processes, including but not limited to service approvals, assigned QA reports, and billing entries, to ensure claims are submitted accurately and on time
• Partner with clinicians and program support staff to correct service entries and resolve documentation or billing discrepancies
• Work with the billing team to complete manual adjustments and write-offs, as appropriate
• Help with Payer Set up (new payer adds, etc)- includes updating related documentation
• Assist in Project management and implementation

Billing Training & Documentation Management (30%)

In partnership with the Revenue Cycle Manager and Billing Supervisor the Billing Assistant Supervisor will:

• Train new clinicians and clinical support staff across the agency on billing procedures, requirements, and systems as requested.
• Maintain and update billing-related documentation, workflows, and resources on SharePoint
• Coordinate and deliver ongoing training related to billing processes, system updates, and procedural changes
• Update billing department and program support procedures and ensure staff are trained on new or revised practices
• Support management of user access to accounts/websites as requested
• Ensure any updates to current policies and procedures are shared and trained on.
• Maintain processes to ensure compliance with contract items and insurance requirements

Supervision of Billing Staff (30%)

The Billing Assistant Supervisor provides day-to-day leadership and supervision of the billing and accounts receivable team, including:

• Supervise either front or back end team members
• Provide regular supervision, coaching, and support to billing and accounts receivable staff
• Assign and prioritize work to ensure coverage, accuracy, and efficiency
• Conduct performance evaluations and initiate corrective action when necessary
• Support team meetings focused on training, engagement, and process improvement
• Conduct regular one-on-one meetings and account quality reviews
• Coordinate vacation coverage and staffing for open positions
• Monitor productivity, prepare reporting, and support team planning and workload distribution
• Cross-Functional & Agency Collaboration
• Support department meetings as requested.
• Support Credible EHR workflows across departments
• Partner with cross-functional teams to map client data flow with a focus on improving the client experience
• Participate in and contribute to the Quality Assurance Team (QAT), including approximately 1.5 hours per week of project-based work that may extend into additional cross-program initiatives

• 3+ years of experience in healthcare billing – medical billing and accounts receivable is required
• Prior leadership experience is required
• Strong problem-solving and conflict resolution skills is required
• High level of organization, adaptability, and attention to detail is required
• Extensive EHR insurance experience required; Qualifacts Credible experience preferred is required
• Data analysis experience is required
• Proficient Excel experience is required

Strongly Preferred

• Credentialing experience
• Experience with Credible EHR
• Mental health and nonprofit healthcare experience
• Billing/Coding certification or education.
• Project management experience desired
• Bilingual ability in Spanish or Somali

Work Environment

This role is primarily onsite, with limited hybrid opportunities based on operational needs and performance.