Billing Supervisor
HHM Health · Dallas, TX · 3 wk ago
On-siteAccountingFull-time
About the role
We are seeking a Billing Supervisor with a passion for service excellence to join our team in the Dallas area. The Billing Supervisor leads the day-to-day operations of HHM Health’s billing function and provides direct supervision to all teams within the revenue cycle.
Responsibilities
- Supervise all revenue cycle functions, including Insurance Verification, Charge Entry, Claims/Billing, Payment Posting, Accounts Receivable, and Denials Management, ensuring efficient workflow coordination across teams.
- Establish daily priorities, assign workloads, monitor productivity and quality metrics, and ensure performance goals are met.
- Provide leadership, coaching, training, performance management, and staff development while partnering with leadership on employee evaluations and corrective actions.
- Lead team meetings, communicate payer and policy updates, resolve complex billing issues, and develop standardized operating procedures while cross-training staff for operational continuity.
- Oversee insurance verification processes to ensure accurate eligibility, benefits, coverage verification, and payer determination for Medicaid, Medicare, CHIP, commercial insurance, and sliding fee programs.
- Manage the timely and accurate submission of professional and FQHC encounter claims, ensuring correct coding, charge capture, documentation, reimbursement, and compliance with PPS and wraparound billing requirements.
- Direct denial management, appeals, accounts receivable follow-up, payment posting, reconciliation activities, patient balance management, and efforts to reduce claim denials and aging accounts.
- Collaborate with clinical, coding, and operational teams to resolve billing and documentation issues that impact revenue cycle performance.
- Ensure compliance with FQHC, Medicaid, Medicare, HRSA, HIPAA, payer regulations, and organizational policies while maintaining audit-ready documentation.
- Generate and analyze revenue cycle reports and key performance indicators (KPIs), identify trends, support audits, and recommend process improvements to optimize reimbursement and operational effectiveness.
Requirements
- Minimum of 3–5 years of medical billing and revenue cycle experience, including 1–2 years in a lead or supervisory role.
- A high school diploma or equivalent required; an Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
- Strong knowledge of CPT, HCPCS, ICD-10 coding, modifiers, eligibility verification, claims processing, denial management, and payment posting.
- Experience working with Medicaid, Medicaid Managed Care Organizations (MCOs), Medicare, and commercial insurance payers.
- Proficiency with electronic health records, practice management systems, clearinghouse platforms, and payer portals.
- Preferred experience in a Federally Qualified Health Center (FQHC) or community health center, including PPS encounter rates, wraparound billing, FQHC encounter coding, and sliding fee programs.
- Hands-on experience with eClinicalWorks (ECW) for billing, claims management, reporting, and revenue cycle operations is highly desirable.
- Familiarity with Texas Medicaid (TMHP) and Texas Medicaid Managed Care requirements, along with coding or revenue cycle certifications such as CPC, CPB, or CRCR, is preferred.
- Strong leadership, analytical, organizational, and problem-solving skills with the ability to coach teams, interpret revenue cycle data, and manage multiple priorities effectively.
- Excellent communication skills, professionalism, attention to detail, integrity in handling confidential information, and a patient-centered approach aligned with organizational values.
Qualifications
- Minimum of 3–5 years of medical billing and revenue cycle experience, including 1–2 years in a lead or supervisory role.
- A high school diploma or equivalent required; an Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
- Strong knowledge of CPT, HCPCS, ICD-10 coding, modifiers, eligibility verification, claims processing, denial management, and payment posting.
- Experience working with Medicaid, Medicaid Managed Care Organizations (MCOs), Medicare, and commercial insurance payers.
- Proficiency with electronic health records, practice management systems, clearinghouse platforms, and payer portals.
- Preferred experience in a Federally Qualified Health Center (FQHC) or community health center, including PPS encounter rates, wraparound billing, FQHC encounter coding, and sliding fee programs.
- Hands-on experience with eClinicalWorks (ECW) for billing, claims management, reporting, and revenue cycle operations is highly desirable.
- Familiarity with Texas Medicaid (TMHP) and Texas Medicaid Managed Care requirements, along with coding or revenue cycle certifications such as CPC, CPB, or CRCR, is preferred.
- Strong leadership, analytical, organizational, and problem-solving skills with the ability to coach teams, interpret revenue cycle data, and manage multiple priorities effectively.
- Excellent communication skills, professionalism, attention to detail, integrity in handling confidential information, and a patient-centered approach aligned with organizational values.
Skills
- A pleasant and professional demeanor.
- The ability to work independently.
- Strong communication skills.
- The ability to preserve confidentiality.
Benefits
- Health Savings Account
- 403(b) retirement savings plan with dollar-for-dollar matching up to 3% and match 50% of the next 2% (contribute 5% to get 4% matched).
- 100% vested upon enrollment.
- Generous time off plan for full-time employees (includes Health & Wellness + Volunteer Days + Paid Time Off).
- Accidental Death & Dismemberments (ADD) plan.
- Short-term & Long-term Disability.
- Employee Assistance Programs (EAP).
- HHM CARES Fund (employee emergency relief fund).