CENTRAL BUSINESS OFFICE SUPERVISOR

Horizon Health is a Critical Access, Rural Health Facility with 25 inpatient beds in Paris, IL, and multiple outpatient clinics, including Family Practice and Specialty Clinics in Paris and surrounding cities. Serving Edgar County since 1968, we provide community education, emergency services, and outpatient care. As we expand, our community has grown beyond Paris, supported by a rich history and strong community ties.

About the Role

The Central Business Office (CBO) Supervisor serves as the operational leader of the organization's billing and accounts receivable functions, providing day-to-day leadership and oversight across all assigned care settings. This role ensures the department meets performance, quality, compliance, productivity, reimbursement, and customer service expectations while supporting the overall Revenue Cycle strategy. Reporting to the Central Business Office Manager, the Supervisor translates departmental goals into daily operations by coordinating workflows, monitoring productivity, resolving issues, developing staff, and maintaining performance standards. The role fosters a culture of accountability, collaboration, and service excellence while providing technical leadership for billing, claims management, reimbursement, accounts receivable, denial management, appeals, and payment variance resolution.

The CBO Supervisor collaborates with Patient Access, Patient Engagement, Coding & Revenue Integrity, Health Information Management (HIM), clinical departments, providers, Finance, Compliance, Information Technology, and external payers to ensure accurate charge capture, timely reimbursement, regulatory compliance, and an exceptional patient financial experience across the Revenue Cycle. The role supports billing and reimbursement for Critical Access Hospital (CAH), Rural Health Clinic (RHC), Hospital-Based (HB), Professional Billing (PB), Emergency Medical Services (EMS), and other Revenue Cycle operations, requiring knowledge of their unique operational, reimbursement, and compliance requirements.

Responsibilities

• Oversee daily billing operations for CAH, RHC, HB, PB, EMS, and other assigned service lines, ensuring timely claim generation, billing, and reimbursement.
• Coordinate workflows and operational priorities to maintain continuity and departmental performance.
• Identify and resolve operational barriers to support standardized workflows and consistency.
• Provide operational oversight for claim submission, billing edits, accounts receivable follow-up, denial resolution, and payment variance management.
• Monitor billing work queues to ensure timely processing of held claims, edits, and outstanding accounts.
• Oversee appeals, corrected claims, reconsiderations, and supporting documentation in compliance with payer requirements.
• Ensure compliance with federal, state, regulatory, payer, and organizational billing requirements.
• Maintain knowledge of reimbursement methodologies for CAH, RHC, HB, PB, and EMS settings.
• Collaborate with Coding & Revenue Integrity to ensure claims accurately reflect coded services and documentation.
• Support implementation of regulatory updates, payer policy changes, and system enhancements affecting billing operations.
• Partner with Revenue Cycle departments, clinical operations, providers, and external stakeholders to resolve billing issues and improve performance.
• Serve as a resource for complex billing, reimbursement, and operational questions.
• Monitor departmental performance using metrics such as accounts receivable aging, cash collections, denial rates, billing accuracy, and operational efficiency.
• Utilize reports, dashboards, and work queues to identify trends, prioritize work, and allocate resources.
• Perform or oversee specialized billing functions, including credit balance management, refund processing, secondary/tertiary billing, and government reimbursement initiatives.
• Support system implementations, testing, and workflow optimization for billing operations.

Requirements

• High school diploma or equivalent required; Associate degree in healthcare administration, business administration, finance, health information management, or a related field preferred.
• Three to five years of progressive healthcare billing, accounts receivable, reimbursement, or related Revenue Cycle experience.
• Demonstrated experience with claim submission, billing edits, accounts receivable follow-up, denial resolution, appeals, and payer requirements.
• Experience with both Hospital Billing and Professional Billing operations preferred.
• Previous Lead, supervisory, training, or demonstrated leadership experience preferred.
• Experience supporting billing and reimbursement for Critical Access Hospital (CAH) and Rural Health Clinic (RHC) settings strongly preferred.
• Experience with Hospital-Based (HB), Professional Billing (PB), Emergency Medical Services (EMS), outpatient, and ambulatory billing operations preferred.
• Working knowledge of billing and reimbursement operations for CAH, RHC, HB, PB, EMS, outpatient, and ambulatory services.