Oversee daily operations of billing and insurance follow-up teams.
Execute billing and follow-up plans, monitor department reports, and track user productivity.
Manage client communications, including project updates, billing system support, and service implementations.
Lead internal and external meetings to discuss project deliverables and updates with key stakeholders.
Resolve account balances and assist with complex billing or denial issues.
Monitor and resolve inappropriate denials, underpayments, and overpayments.
Stay current with payer guidelines, regulations, and industry best practices through webinars, seminars, and research.
Identify billing system issues and assist in system updates and process improvement initiatives.
Respond to audits (e.g., RAC, MIC, ADR) and support the appeals process.
Create and maintain tracking tools for interdepartmental communication and reporting.
Provide coaching and support to staff members to meet quality and productivity standards.
Manage staffing needs, assist with hiring decisions, and ensure time and attendance compliance.
Maintain effective working relationships with clients, internal teams, and external stakeholders.
Ensure HIPAA compliance and maintain patient confidentiality at all times.
Act as a liaison between Management, Supervisors, and Staff to promote department success.
Lead initiatives aimed at reducing payer rejections and denial rates.
Support revenue cycle projects and provide feedback on operational effectiveness.

High School Diploma required; Associate’s or Bachelor’s degree preferred.
5-7 years of experience in healthcare revenue cycle operations.
3 years of direct management or supervisory experience.
Certification preferred (e.g., AAHAM, HFMA, NAHAM); Project Management certifications a plus.
Strong knowledge of patient accounting systems, EHRs, billing forms (UB04, HCFA 1500), and CPT/HCPCS/ICD-10 coding.
Demonstrated experience in appeals, denial management, and payer regulations.
Advanced knowledge of billing processes and insurance collection standards.
Excellent communication skills with the ability to present updates to senior leadership and clients.
Proficient in Microsoft Office and familiar with payer portals and billing platforms.
Strong analytical, problem-solving, and conflict resolution skills.
Ability to lead teams, manage multiple projects, and meet deadlines in a fast-paced environment.

Insurance Supervisor

Key skills