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Job Description – Medical Billing Supervisor – Accounts Receivable & Denial Management
A Medical Billing Supervisor leads the billing team, manages the revenue cycle, and ensures accurate accounts receivable (AR) collections while resolving insurance denials efficiently.
Role Overview
The Medical Billing Supervisor is a leadership position in the revenue cycle, responsible for overseeing the billing department’s daily operations. This role blends people leadership, process optimization, and regulatory compliance to ensure accurate claims, timely reimbursements, and compliant operations. The supervisor works closely with providers, coders, and payers to improve coding accuracy, reduce denials, and enhance cash flow.
Key Responsibilities
- Team Leadership & Training: Supervise, train, and mentor billing specialists, coders, and follow-up staff; ensure compliance with HIPAA and payer guidelines
- Revenue Cycle Oversight: Monitor the end-to-end process from claim submission to payment, including denial management, appeals, and patient billing inquiries
- Accounts Receivable Management: Analyze AR aging reports, implement action plans to reduce days in AR, and improve cash flow
- Denial Resolution: Investigate and resolve insurance denials, work with payer representatives, and optimize re-submission to reduce denial rates
- Process Improvement: Identify workflow bottlenecks, recommend automation or technology upgrades (EHR, billing software, clearinghouses) to improve efficiency
- Collaboration: Partner with the Accounts Receivable Supervisor and Revenue Cycle Manager to streamline payment processes and reduce claim rejections
- Compliance & Audits: Conduct regular audits of billing records, ensure audit trails, and maintain data privacy protocols
- Reporting: Generate and present performance metrics (KPIs like denial rate, net collection rate, days in AR) to leadership
Essential Skills & Qualifications
- Education: Bachelor’s degree in healthcare administration preferred but not required. Some roles require certification in medical billing and coding.
- Experience: 3+ years in medical billing; experience with EHR systems and billing software
- Technical Skills: Proficiency in CPT, ICD-10-CM, HCPCS coding; familiarity with insurance reimbursement processes; strong analytical and problem-solving abilities.
- Soft Skills: Excellent communication, interpersonal skills, attention to detail, and ability to work in a fast-paced environment
- Regulatory Knowledge: Understanding of HIPAA, payer guidelines, and compliance requirements
Why This Role Matters
By managing AR collections and denial resolution, the Medical Billing Supervisor directly impacts the organization’s financial health, patient satisfaction, and operational efficiency. This role is critical for reducing revenue leakage, improving payer relationships, and ensuring accurate patient billing
Job Description – Follow-Up Clerk (Medical Billing / Accounts Receivable)
Role Overview
A Follow-Up Clerk in Medical Billing and Accounts Receivable is responsible for ensuring that all patient accounts are processed accurately, claims are submitted and followed up on, and outstanding payments are resolved efficiently. This role bridges billing and collections, requiring strong attention to detail, communication skills, and familiarity with healthcare billing systems.
Key Responsibilities
- Processing Denied Charges
Review and process all denied claims, identify the reason for denial, and coordinate with the billing team to correct documentation or resubmit claims to insurance companies - Following Up on Unpaid Claims
Contact insurance companies and patients to follow up on unpaid or pending claims within the standard billing cycle timeframe - Claim Submission & Tracking
Prepare, review, and transmit both electronic and paper claims using billing software - Accounts Receivable Management
Maintain and update patient accounts, track balances, and reconcile accounts to ensure accurate billing records - Patient & Insurance Communication
Respond to patient billing inquiries, resolve billing disputes, and provide explanations for charges or denials - Appeal Support
Research denied claims and follow up on appeal status to secure reimbursement - Compliance & Documentation
Ensure all billing activities comply with HIPAA, insurance guidelines, and internal policies; maintain accurate and secure records - Reporting & Coordination
Prepare periodic reports on billing activities and coordinate with billing managers to address outstanding accounts
Required Skills & Qualifications
- Technical Skills
Proficiency in medical billing software, ICD-10/CPT coding basics, and electronic claims submission . - Administrative Skills
Strong data entry, organization, and time management abilities. - Communication Skills
Clear, professional communication with patients, insurance companies, and billing staff. - Attention to Detail
Ability to review and correct billing documentation to avoid denials or errors. - Knowledge of Healthcare Billing
Understanding of insurance coverage, Medicare/Medicaid rules, and accounts receivable processes
Work Environment
This role is typically performed in a healthcare facility’s billing or business office, often with a mix of computer-based and phone-based tasks. The work environment is fast-paced, requiring accuracy and efficiency in handling multiple accounts and claims.
In summary: A Follow-Up Clerk in Medical Billing / Accounts Receivable ensures that denied charges are resolved, claims are processed and followed up on, and patient accounts are managed effectively, contributing directly to the financial health of the healthcare provider.
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INSIGHT BILLING CORPORATION