Billing Operations Specialist

Posted 4 Hours Ago
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79424, Lubbock, TX, USA
In-Office
5-5 Annually
Senior level
Healthtech • Professional Services • Financial Services
The Role
The Billing Operations Specialist oversees billing operations, manages staff, resolves issues, and ensures efficient revenue cycle performance while coordinating processes across departments.
Summary Generated by Built In

Job Summary

We are seeking an experienced and organized Billing Operations Supervisor to oversee daily billing operations, staff coordination, insurance portal management, and cross-departmental workflow support. This role is responsible for supervising billing and managed care staff, resolving escalated payer and patient issues, coordinating operational processes, and ensuring efficient revenue cycle performance.

Key Responsibilities

Operations & Staff Management

  • Manage employee attendance, call-ins, PTO requests, staffing coverage, and overtime tracking.
  • Supervise daily operations of billing and managed care teams to ensure productivity and workflow efficiency.
  • Coordinate staffing adjustments during absences or high-volume periods.

Billing & Revenue Cycle Support

  • Assist billers with eligibility issues, claim denials, appeals, payer disputes, and complex account resolutions.
  • Review aging reports, denial trends, reimbursements, and write-off activity to identify improvement opportunities.
  • Collaborate with credentialing and authorization teams to minimize reimbursement delays and write-offs.

Insurance Portal & System Administration

  • Manage insurance portal access for billing, payment posting, managed care, and clinic staff.
  • Oversee onboarding/offboarding system access and compliance processes.
  • Work with credentialing teams and eClinicalWorks support to resolve payer and portal issues.

Mail & Communication Coordination

  • Review and distribute incoming mail, faxes, and operational documents to appropriate departments.
  • Coordinate ERA/EFT enrollment efforts related to paper claims and checks.
  • Handle escalated patient calls, billing concerns, voicemail follow-up, and payment inquiries.

Cross Department Collaboration

  • Participate in weekly meetings with credentialing, billing, payment posting, and authorization teams to resolve operational and reimbursement issues.
Qualifications

Qualifications

  • 5+ years of medical billing or revenue cycle management experience.
  • Previous supervisory or leadership experience required.
  • Knowledge of insurance claims, denials, appeals, payer portals, ERA/EFT, and credentialing workflows.
  • Experience with eClinicalWorks or similar EMR systems preferred.
  • Bachelor’s degree in healthcare administration, Business, or related field is a plus.
  • Strong communication, organizational, and problem-solving skills.

Skills Required

  • 5+ years of medical billing or revenue cycle management experience
  • Previous supervisory or leadership experience
  • Knowledge of insurance claims, denials, appeals, payer portals, ERA/EFT, and credentialing workflows
  • Experience with eClinicalWorks or similar EMR systems
  • Bachelor's degree in healthcare administration, Business, or related field
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The Company
24 Employees
Year Founded: 2010

What We Do

MD Billing is a physician-owned medical billing company with extensive experience in wound care, hyperbaric medicine, and family medicine. We aim to help simplify billing and coding for an array of healthcare providers while maximizing practice revenue.

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