Billing Supervisor - Medicare SME - Full CBO
Core
Supervise hospital/clinic business office operations, focusing on Medicare full-cycle claims billing, collections, and third-party payer relations.
Role type
Senior IC billing supervisor (Medicare SME)
Builds
Patient billing and collection workflows, insurance claim submissions, and denial resolution processes.
Domain
Healthcare administration / Medical billing
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medicare full-cycle claims processing, full-cycle claims billing, denial management, third-party payer relations, team leadership, process improvement, quality assurance, staff coaching and training, HIPAA compliance
Preferred skills
Experience with high-profile customers, contract implementation, claims edit review
Technologies
None stated
Responsibilities
Coordinate business office functions including patient billing and collections; Implement controls for accurate and timely billing; Assist manager in employee management including coaching and disciplinary actions; Resolve advanced claim backlogs and denial queues; Review claims to ensure correct edits setup
Seniority
Senior, hands-on IC with leadership responsibilities