| Location | Sandy, Utah |
The Billing Supervisor is responsible for the day-to-day supervision of billing staff and oversight of claim submission and early follow-up activities for assigned payer lines of business. Each supervisor manages a defined payer portfolio to ensure timely, accurate, and compliant billing, strong clean-claim performance, and effective denial prevention and resolution.
• Billing Supervisor – Commercial & UHC: Primary responsibility for UnitedHealthcare (all UHC lines of business, including commercial and managed care products). Oversight of all non-government, non-BCBS/Anthem commercial payers, including other national and regional plans, self-funded groups, and related commercial lines of business.
• Billing Supervisor – Government & BCBS/Anthem: Primary responsibility for all government payers, including Medicare, Medicaid, Medicare Advantage, Medicaid managed care plans, and other government-funded programs. Oversight of all BCBS and Anthem lines of business, including state and national BCBS plans and Anthem-branded products.
• Team Leadership: Supervise, train, and evaluate billing staff performance, including assigning work, monitoring productivity, and providing regular feedback and coaching.
• Revenue Cycle Management: Monitor accounts receivable (A/R) and oversee timely, accurate submission of claims to all payers, ensuring adherence to payer filing limits and organizational standards.
• Compliance and Auditing: Ensure compliance with federal, state, and payer-specific regulations, including HIPAA, and perform regular internal audits of billing activity to identify and correct issues.
• Denial Management: Analyze claims data and denial trends, resolve complex billing issues, and partner with Denials/Follow-up and Patient Access teams to reduce preventable denials and billing errors.
• Reporting: Prepare and distribute monthly financial and statistical reports on billing performance, A/R metrics, denial trends, and clean-claim rates for management review.
• Oversee the medical billing process from claim generation through submission and clearinghouse edits, ensuring claims are submitted accurately and within required timeframes.
• Collaborate with Charge Entry & EDI to identify root causes of recurring billing issues, including coding, modifiers, units, enrollment, and benefit setup, and implement sustainable workflow and system fixes.
• Assist with payer and internal audits by preparing billing documentation, reports, and responses and ensuring billing practices align with payer contracts and organizational policies.
• Develop, update, and enforce standard operating procedures and desk-level workflows for the billing team, emphasizing standardization across sites and payers.
• Provide subject-matter expertise and escalation support for complex account issues, coordination of benefits, and multi-payer scenarios.
• Participate in or lead special projects related to system upgrades, payer implementations, new site or service go-lives, and integration of acquired entities into standard billing workflows.
• Perform other related duties as assigned to support Revenue Cycle and organizational goals.
• Directly supervises a team of Senior Billers.
• Responsible for hiring, onboarding, training, attendance, performance evaluations, and corrective actions for assigned staff.
• Helps foster a high-performing, collaborative culture focused on accuracy, throughput, accountability, and continuous improvement.
• Experience: Minimum 5+ years of medical billing experience, including at least 2 years in a supervisory or lead role strongly preferred.
• Technical Knowledge: Expert knowledge of medical billing workflows, including ICD-10, CPT, HCPCS, modifier application, NDC reporting, and payer adjudication logic.
• Education: Associate's degree in healthcare administration, Business, or a related field work with equivalent work experience considered.
• Skills: Strong leadership, analytical, communication, and organizational skills, with the ability to manage multiple priorities and deadlines in a high-volume environment.
This role operates within an established infusion-specific technology stack. Direct hands-on experience with the following systems is strongly preferred; experience with comparable systems and demonstrated rapid-learning ability will be considered.
• Practice Management: AdvancedMD (preferred)
• Infusion Workflow / EHR: WeInfuse (preferred), R2 integration
• Clearinghouse: Waystar (preferred)
• Payer Portals: UHC Provider Portal, Availity, Navinet, payer-specific portals as required by assigned portfolio
• Prior experience in infusion, oncology, specialty pharmacy, or other high-acuity reimbursement environments.
• Experience in a centralized business office or multi-site, multi-state healthcare environment.
• Hands-on Waystar clearinghouse experience, including rejection workflow management, ERA/835 reconciliation, and payer-specific edit configuration.
• Experience supporting mergers, acquisition, or TIN consolidation activities — including impact on payer enrollment, claim adjudication, contract assignment, and integration of acquired entities into standardized billing workflows.
• Certification in medical billing or coding, such as CPC, CCS, CPB, or a revenue cycle–focused certification (CRCR, CRCP-I), preferred.
• Strong understanding of end-to-end revenue cycle processes, particularly charge entry, billing, rejections, and early-stage denials.
• Ability to interpret payer policies, EOBs, ERAs, and remittance codes and translate them into actionable process improvements.
• Demonstrated ability to coach and develop staff, balance workloads, and lead through operational change.
• High attention to detail and accuracy, with strong problem-solving skills and comfort working with data and reports.
• Effective verbal and written communication skills to interact with staff, leadership, providers, and external partners.
• Maintain A/R aging within defined departmental and industry benchmarks, including keeping the majority of A/R in target aging buckets and reducing preventable aged receivables.
• Ensure high billing accuracy, reflected by strong clean-claim performance and low correction or rework volume.
• Maximize revenue collections by improving first-pass payment outcomes, reducing avoidable denials, and supporting timely resolution of outstanding balances.
This is a remote/hybrid position. The Billing Supervisor works primarily from a home office with periodic on-site presence at the corporate office or clinic locations as needed for team meetings, audits, system implementations, or payer working sessions. Reliable high-speed internet, a HIPAA-compliant homework environment, and the ability to maintain consistent business-hours availability across the multi-state footprint (MT/PT time zones primary) are required. Prolonged periods working at a computer, participating in virtual meetings, and managing staff through electronic systems and communication platforms should be expected.