Durham County Government · 18 hours ago
BILLING OPERATIONS SUPERVISOR - 40000955
Durham, NC
Full-time
Onsite
Mid, Senior Level
$53K/yr - $90K/yr
3+ years expDurham County Government is home to over 2,000 dedicated professionals working together to deliver essential services. The Billing Operations Supervisor oversees the daily operations of the billing unit, providing guidance and expertise in medical and dental billing to ensure optimal reimbursement and compliance with regulations.
Government Administration
Responsibilities
Oversee, manage and direct the daily operations of the Billing Unit
Ensure that billing deadlines are met, and productivity standards are maintained
Evaluates staff training needs; coordinates ongoing education and onboarding for new staff
Develops and reviews annual performance goals for direct reports and completes performance appraisals annually
Review and approve staff time entries, leave requests, and 30-day time sheets
Conduct regular team meetings to share updates, address workflow concerns, and support collaboration
Address personnel issues in accordance with departmental policies, including initiating corrective actions or disciplinary steps when necessary
Perform daily revenue payment posting and reconciliation from all payment sources (Medicaid, Medicare, insurance, self-pay, etc.)
Analyze Medicaid remittance advice and process receivables, including identification and processing of necessary refunds
Monitor and manage accounts assigned to work queues in EPIC or other billing platforms
Use portals such as Availity Clearinghouse to verify and research remittance and payment status
Ensure proper application of billing and coding guidelines across programs and services
Analyze team workflows to identify and address inefficiencies or gaps that impact cash flow and claims performance
Recommend and implement process improvements to maximize reimbursement and minimize denials and rework
Track and report on key performance indicators (KPIs) including denial rates, days in accounts receivable, clean claim rate, and others
Collaborate with revenue cycle staff, program supervisors and managers, and registration supervisor to ensure billing protocols align with clinical and administrative workflows
Serves as the departmental billing subject matter expert
Ensure compliance with all applicable local, state, and federal regulations including HIPAA, NCDHHS Coding and Billing Guidance, NCPH Administrative and Clinical Coverage Policies, NC Administrative Codes, NC Immunization Program Coverage, Family Planning Title X, Durham County and agency approved policies
Act as liaison between the billing unit and clinic and registration supervisors, program managers, EMR vendors, insurance payers, and state consultants
Collaborate with the finance unit and program leadership during budget planning, fee setting, and operational reviews
Address and resolve interdepartmental issues that impact billing
Assist with internal/external audits and prepare supporting documentation as required
Prepare and analyze billing and claims reports for performance monitoring and quality improvement
May perform additional tasks assigned to support departmental operations
Performs related work as assigned
Qualification
Required
Associate's degree in health administration, public health, business, accounting, or related field. Equivalent work experience may be considered
Three (3) years of progressively responsible experience in healthcare billing and revenue cycle management, including one (1) year of supervisory experience
Working knowledge of medical billing principles, payer reimbursement methodologies (including Medicaid, Medicare, and commercial insurance), and healthcare revenue cycle practices
General understanding of bookkeeping and accounting principles as they apply to billing, payment posting, accounts receivable, and reconciliation
Familiarity with government budgeting and public health financial procedures, including reporting, auditing, and fee setting
The ability to independently plan, organize, assign, and review the work of billing staff, ensuring accuracy and productivity
Strong leadership skills with the ability to coach, mentor, and evaluate staff while addressing performance or disciplinary issues when necessary
Excellent interpersonal skills and the ability to maintain effective working relationships with clinical teams, administrative staff, the public, and representatives from external agencies
Clear and professional oral and written communication skills; able to present information effectively to staff and leadership
Strong analytical skills with the ability to interpret billing regulations, identify and resolve issues, and apply relevant laws and payer policies
Highly organized with the ability to prioritize tasks, manage competing deadlines, and adapt to changing programmatic or regulatory needs
Proactive, flexible, and open to continuous learning and adopting new approaches to improve efficiency and meet departmental goals
Measles, Mumps & Rubella (MMR) vaccination/immunity
Varicella-Zoster Virus (Chicken Pox) vaccination/immunity
Tdap (Tetanus, Diphtheria, Pertussis)
Tuberculosis (TB) baseline screening within the last twelve (12) months prior to employment
Hepatitis B vaccination/immunity – only required for DCoDPH employees with potential Bloodborne Pathogen (BBP) exposures
Preferred
Experience using billing systems such as EPIC, Patagonia Health, or CureMD
Familiarity with NC Tracks, Availity, and other payer portals
Certified Professional Biller (CPB), Certified Professional Coder (CPC), and/or Certified Revenue Cycle Professional (CRCP)
Benefits
Proof of vaccination and tuberculosis screening must be provided to Human Resources within seven (7) business days prior to the date of employment.
Required vaccination, serological testing to determine immunity, and baseline tuberculosis screening are available for all Public Health employees who elect to become DCoDPH patients upon request and at no cost.
Company
Durham County Government
Durham County Government. State of North Carolina Durham County is consistently ranked as one of the top places in the nation to live and do business.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Susan Tezai
Chief Financial Officer
Tiffany Murray, MBA, CLGFO
Chief Financial Officer
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