Onsite Supervisor, Billing (Healthcare Revenue Cycle Management) jobs in United States
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IKS Health · 3 months ago

Onsite Supervisor, Billing (Healthcare Revenue Cycle Management)

IKS Health is a healthcare solutions provider focused on improving operational efficiency and patient outcomes. They are seeking a Supervisor – Billing to lead a team in managing charge entry, claim submission, and addressing billing rejections to ensure compliance with payer guidelines.

Health CareMedical

Responsibilities

Supervise billing representatives managing charge capture, claim creation, and submission processes
Monitor attendance, productivity, and quality to meet SLAs
Provide regular coaching, mentoring, and performance evaluations to drive team efficiency
Oversee resolution of front-end billing rejections and clearinghouse edits
Ensure compliance with Medicare, Medicaid, and commercial payer billing guidelines
Monitor recurring issues such as invalid codes, COB errors, subscriber mismatches, and missing authorizations, implementing corrective action plans
Partner with coding, AR, and client teams to resolve systemic causes of rejections and improve clean claim rates
Track and analyze KPIs such as first-pass acceptance rate, billing turnaround time, and rejection rates
Collaborate with Quality, Training, and Process Excellence teams to update workflows and training material
Ensure accurate and timely reporting on billing outcomes and productivity
Stay updated on CMS regulations, payer billing updates, and state Medicaid requirements to keep processes compliant
Address and resolve escalated billing concerns from clients or internal stakeholders
Maintain audit readiness with thorough documentation and adherence to compliance standards

Qualification

Healthcare billing expertiseSupervisory experiencePayer billing rules knowledgeBilling systems proficiencyCPTHCPCSICD-10 codingProblem-solving skillsAnalytical skillsMS Office proficiencyGoogle Suite proficiencyCommunication skillsTeam leadership

Required

High School Diploma Required (Bachelor's Degree Preferred)
5+ years of supervisory/management experience in healthcare billing
Demonstrated expertise in handling billing rejections, clearinghouse edits, and payer-specific billing rules
Proficiency in billing systems (Epic preferred) and clearinghouse platforms
Experience with Medicare/Medicaid portals and Workers' Comp billing processes
Proficiency in MS Office, Google Suite, and workflow/case management tools
Proven success in improving billing performance metrics such as clean claim rate and rejection turnaround
Strong understanding of front-end billing workflows, claim edits, and clearinghouse operations
In-depth knowledge of payer billing rules, especially Medicare, Medicaid, and Workers' Comp
Familiarity with CPT, HCPCS, ICD-10 coding and how coding errors impact billing acceptance
Excellent problem-solving and analytical skills to identify and fix systemic issues
Strong communication skills to work across coding, AR, and client leadership teams
Ability to lead both onsite and remote teams effectively

Preferred

Bachelor's Degree

Benefits

Healthcare
401 (k)
Paid time off

Company

IKS Health

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IKS Health offers clinical, financial, and administrative healthcare solutions.

Funding

Current Stage
Public Company
Total Funding
unknown
2024-12-19IPO
2006-11-16Seed

Leadership Team

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Sachin Gupta
Founder & CEO
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Joe Benardello
Co-founder and Chief Growth Officer
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Company data provided by crunchbase