Medical Records Biller V-Supervisor
About the role
Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Biller V-Supervisor to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act.
Responsibilities
- Directly supervises billing staff, including Medical Biller IV (Lead) and Medical Biller III personnel, while maintaining hands-on responsibility for complex billing work.
- Oversees the accurate and timely preparation and submission of outpatient and inpatient claims to third-party payers, intermediaries, and responsible parties.
- Maintains oversight of account documentation, message-field activity, and status tracking in RPMS or other approved systems.
- Supports compliance with requirements governing use of funds collected from third-party insurance under the Indian Health Care Improvement Act and related policy.
- Provides day-to-day supervision, coaching, workload assignment, and performance feedback to Medical Biller IV and Medical Biller III staff.
- Acts as the primary point of contact for complex claims-processing questions, recurring operational issues, and leadership inquiries.
- Recommends and helps implement changes in billing methods, procedures, information dissemination, and process controls to improve outcomes.
Requirements
- High school diploma or equivalent plus 8+ years of progressively responsible medical billing, claims processing, patient accounts, or revenue cycle experience; or an associate’s or bachelor’s degree in Health Information Management, Medical Billing and Coding, Business, or related field with 5+ years of progressively complex experience.
- Completion of an accredited Medical Billing, Medical Coding, Health Information Management, or related program preferred.
- Expert knowledge of outpatient and inpatient billing, denial management, payer requirements, accounts receivable processes, UB-04 and CMS-1500 claim preparation, and reimbursement workflows.
- Strong understanding of ICD, CPT, and HCPCS coding as used in billing support functions.
- Demonstrated supervisory, team lead, or formal mentoring experience in a billing, patient accounts, or revenue cycle environment.
- Experience with audits, appeals, post-payment review response, reporting, workflow oversight, and process improvement.
- Proficiency with EHRs, RPMS or comparable systems, billing platforms, and productivity/reporting tools.
- Strong analytical, organizational, leadership, and communication skills.
Qualifications
- High school diploma or equivalent.
- 8+ years of progressively responsible medical billing, claims processing, patient accounts, or revenue cycle experience.
- An associate’s or bachelor’s degree in Health Information Management, Medical Billing and Coding, Business, or related field with 5+ years of progressively complex experience.
- Completion of an accredited Medical Billing, Medical Coding, Health Information Management, or related program preferred.
- Expert knowledge of outpatient and inpatient billing, denial management, payer requirements, accounts receivable processes, UB-04 and CMS-1500 claim preparation, and reimbursement workflows.
- Strong understanding of ICD, CPT, and HCPCS coding as used in billing support functions.
- Demonstrated supervisory, team lead, or formal mentoring experience in a billing, patient accounts, or revenue cycle environment.
- Experience with audits, appeals, post-payment review response, reporting, workflow oversight, and process improvement.
- Proficiency with EHRs, RPMS or comparable systems, billing platforms, and productivity/reporting tools.
- Strong analytical, organizational, leadership, and communication skills.
Skills
- Expert knowledge of outpatient and inpatient billing, denial management, payer requirements, accounts receivable processes, UB-04 and CMS-1500 claim preparation, and reimbursement workflows.
- Strong understanding of ICD, CPT, and HCPCS coding as used in billing support functions.
- Experience with audits, appeals, post-payment review response, reporting, workflow oversight, and process improvement.
- Proficiency with EHRs, RPMS or comparable systems, billing platforms, and productivity/reporting tools.
- Strong analytical, organizational, leadership, and communication skills.
Benefits
We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more.
Pay
Competitive compensation.
Schedule
Hybrid position based in Oklahoma City, Oklahoma. Work Schedule And Hybrid Conditions: During the first few weeks of onboarding and initial training, employees are required to work on site full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. CT, at 701 Market Dr, Oklahoma City, OK 73114. Core working hours are generally 9:00 a.m. CT to 3:00 p.m. CT, with exact start and end times determined by the Program Manager. Work hours may flex based on client needs. Based on demonstrated proficiency and successful performance in all areas of responsibility, employees may become eligible for telework. Telework is a temporary privilege and may be modified or rescinded at any time due to operational, client, business, or security requirements. Maintain a dedicated, secure home office workspace. Maintain a reliable high-speed internet connection. Reside within a reasonable commuting distance of Oklahoma City. Report to the office at least twice every two weeks, and more often as needed for meetings or business requirements.
Security and Compliance Requirements
You must be able to obtain and maintain a favorable Tier II background investigation determination, as required by the Indian Health Service (IHS), as a condition of access to IHS facilities, systems, and data. Employment is contingent upon successful completion of all credentialing, fingerprinting, identity proofing, and security processing required by IHS and any other authorized government offices. You must also be able to comply with all applicable medical privacy, records confidentiality, and IT security requirements governing access to patient information and federal systems. In this role, you must adhere to HIPAA, HITECH, the Privacy Act, and all IHS privacy and security policies and procedures. This includes protecting electronic and paper records, using only authorized systems and approved access methods, maintaining workstation and password security, completing required privacy and IT security training, and immediately reporting any suspected privacy breach, security incident, or unauthorized disclosure. Compliance Requirements Must be able to obtain and maintain a favorable Tier II background investigation determination, as required by IHS. Must successfully complete all required fingerprinting, identity proofing, credentialing, badge, and access steps. Must complete required privacy, HIPAA, and IT security training within required timeframes and maintain current status thereafter. Must comply with all IHS, HHS, facility, and company privacy, confidentiality, records management, and cybersecurity requirements. Must protect PHI and other sensitive information in both paper and electronic form using required administrative, technical, and physical safeguards. Must immediately report suspected privacy breaches, improper disclosures, security incidents, malware events, lost devices, or unauthorized access. Must use only authorized systems, accounts, devices, software, and remote-access methods. Must maintain workstation, password, and badge security at all times. Must be able to support periodic access reviews, audits, and compliance checks.
Telework Security Requirements
If telework is approved, the employee must maintain a dedicated, private workspace suitable for handling confidential information and must use only authorized equipment, approved connections, and secure access methods. Telework may be suspended or revoked at any time if privacy, security, operational, or contractual concerns arise.