Supervise and mentor a team of denial follow-up specialists to ensure timely and accurate resolution of insurance claim denials.
Oversee daily denial worklists to ensure prompt follow-up within payer filing deadlines.
Generate and analyze denial reports (aging, write-offs, recovery rates, etc.)
Serve as the primary point of contact for follow-up workflow questions, providing guidance and resolution support to team members with escalations.
Collaborate closely with the Billing Manager to monitor key performance metrics and assist in meeting department goals and targets.
Ensure proper training, onboarding, ongoing development, and timely feedback, performance evaluations, and coaching for Billing Specialists to maintain high accuracy, productivity, and support professional growth and accountability.
Monitor daily follow-up workflows for completeness and accuracy, identifying trends, inconsistencies, or bottlenecks and implementing corrective actions as needed.
Maintain a working knowledge of the full Revenue Cycle Management (RCM) process, including patient registration, insurance verification, coding, billing, and collections.
Analyze insurance claim denials related to charge entry or billing errors; develop and implement strategies to minimize recurring denials.
Support the Billing Manager in process improvement initiatives, data analysis, and the development of policies and procedures.
Contribute to special projects and initiatives to enhance the efficiency, accuracy, and scalability of the billing department.
Perform follow-up duties as needed, providing direct support to the team and ensuring coverage during planned or unplanned staff absences.
Provide support for additional Revenue Cycle operations, as needed.
Perform other duties as assigned.
Requirements
High school diploma or GED required; Associate’s or Bachelor’s degree strongly preferred.
Minimum of 5 years of billing experience, including at least 3 years in a supervisory role.
Proven experience in leading, training, and supporting team members in a healthcare billing environment.
Proficient knowledge of healthcare revenue cycle, charge entry processes and billing requirements; expertise in Behavioral Health strongly preferred.
Strong understanding of payer guidelines, and insurance claims workflows, including denials and resubmissions.
Excellent verbal and written communication skills; ability to coordinate with cross-functional departments and relay clear guidance to team members.
Strong attention to detail, time management, and problem-solving skills, with the ability to prioritize and delegate tasks effectively.
Willingness to work alongside the team and provide support during staff absences or high-volume periods.
Benefits
Competitive Medical, Dental, and Vision plans with generous employer contributions for both individuals and families.
Company-paid Short-Term Disability, Long-Term Disability, Life and AD&D insurance.
Company-paid partnership with Maven Clinic to provide comprehensive reproductive and family care resources.
Employee Assistance Program (EAP), a company-paid resource for mental health, legal services, financial support, and more!
401(k) retirement plan.
Flex PTO (3-5 wks/year recommended) + 11 paid company holidays.