If you are interested in joining the SunStone Consulting team, please send your resume and the position your are applying for to inquiries@sunstoneconsulting.com.

 

MEDICAL billing supervisor

 

The Billing Supervisor plays a critical role in overseeing the medical billing process and ensuring accuracy and efficiency. They are responsible for managing a team of billing specialists and ensuring compliance with industry standards and regulations. The Billing Supervisor must possess strong leadership skills, attention to detail, and a comprehensive understanding of medical billing procedures.

What You’ll Do:

  • Lead and manage a team of billing specialists, providing guidance, support, and training as needed.

  • Oversee the entire medical billing process, from claim submission to payment collection, ensuring accuracy, timeliness, and compliance with relevant regulations.

  • Monitor and analyze billing data to identify trends, issues, and areas for improvement, and implement necessary changes to optimize billing operations.

  • Collaborate with other departments, such as coding and finance, to resolve billing-related inquiries, discrepancies, and issues.

  • Develop and enforce billing policies and procedures to ensure adherence to industry standards and regulations.

  • Stay updated with changes in medical billing regulations, coding guidelines, and insurance policies, and ensure that the team is trained accordingly.

  • Conduct regular audits of billing processes and records to identify and rectify errors, discrepancies, and potential areas of non-compliance.

  • Generate and analyze billing reports to assess team performance, identify areas for improvement, and provide recommendations for increased efficiency and productivity.

  • Participate in meetings and communicate with management and stakeholders to provide updates on billing operations, challenges, and achievements.

  • Maintain confidentiality of patient records and sensitive billing information, ensuring compliance with HIPAA regulations.

 

What You Bring:

  • Strong leadership skills, with the ability to motivate and supervise a team effectively.

  • Excellent knowledge of medical billing procedures, coding systems, and insurance regulations.

  • Proficient in using EPIC medical billing software and electronic health record (EHR) systems.

  • Attention to detail and strong analytical skills to identify and resolve billing-related issues and discrepancies.

  • Excellent communication and interpersonal skills to effectively collaborate with team members, management, and clients.

  • Ability to work in a fast-paced environment and handle multiple tasks simultaneously, while maintaining a high level of accuracy and efficiency.

  • Strong organizational and time management skills to prioritize tasks and meet deadlines.

  • Problem-solving skills to address billing-related challenges and implement effective solutions.

  • Knowledge of industry best practices, emerging trends, and technological advancements in medical billing.

  • Proficient in Microsoft Office Suite, particularly Excel, for data analysis and reporting.

 

Required Qualifications:

  • Bachelor's degree in healthcare administration, finance, or a related field.

  • Minimum of 3-5 years of experience in medical billing, preferably in a supervisory or leadership role.

  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is preferred.

  • Solid understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems.

  • Familiarity with insurance claim forms, such as CMS-1500 and UB-04.

  • Knowledge of HIPAA regulations and compliance requirements in medical billing.

  • Experience with billing software and EHR systems, such as Epic, Meditech, or Cerner, is required.

  • Strong knowledge of medical billing software, such as Medisoft or Kareo, and proficiency in using billing clearinghouses.

  • Experience in managing and resolving complex billing issues and denials.

  • Strong understanding of revenue cycle management and its impact on the financial health of healthcare organizations.

 

Preferred Qualifications (Bonus Points!):

  • 3+ years of experience in a medical billing supervisory role.

  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.

 

Work Environment & Physical Demands:

  • This is a remote, home-office based position.

  • You’ll utilize standard office equipment (laptops, smartphones, etc.)

  • Typical work hours are 8:00 am – 5:00pm, Monday through Friday.

  • No travel is expeted

 

Why Join Us?

  • Growth Opportunities: Expand your skills and advance your career.

  • Flexibility:  Enjoy the convenience of a remote work environment.

  • Impactful Work: Co

  • Collaborative Team: Work alongside a supportive and knowledgeable team.