Demo

Supervisor of Billing & Accounting

DIAMOND HOUSE DETOX
Sacramento, CA Other
POSTED ON 1/2/2026
AVAILABLE BEFORE 2/1/2026

Job Details

Job Location:    Sacramento, CA
Salary Range:    $70000.00 - $90000.00 Salary

Description

SUMMARY OF POSITION:

The Supervisor of Billing and Accounting is a critical role, responsible for overseeing billing operations and accounting functions to ensure timely, accurate, and compliant financial processes. This role combines strategic financial analysis with hands-on management of billing workflows, focusing on optimizing revenue cycles, ensuring regulatory compliance, and providing actionable financial insights. The ideal candidate is a detail-oriented leader with expertise in healthcare billing systems and strong analytical skills to support organizational decision-making.

The ideal candidate is a detail-oriented leader with deep expertise in healthcare billing systems, accounting principles, and revenue cycle management. Strong analytical skills, financial acumen, and the ability to lead teams effectively are essential.

PRIMARY DUTIES AND RESPONSIBILITIES:

Billing Operations

  • Direct and oversee the end-to-end medical billing process, ensuring accurate and timely submission of claims to insurance providers, Medicare, and Medicaid.
  • Monitor revenue cycle management (RCM) metrics to maximize collections and minimize days in accounts receivable (AR).
  • Ensure compliance with HIPAA, CMS guidelines, and payer-specific requirements.
  • Oversee coding accuracy (ICD-10, CPT, HCPCS) and partner with clinical staff to resolve documentation discrepancies.
  • Implement denial management strategies and oversee appeals for rejected claims.
  • Provide leadership, training, and process improvements to enhance efficiency and accelerate cash flow.

Accounting

  • Prepare and maintain accurate financial statements (balance sheet, income statement, cash flow) in compliance with GAAP.
  • Oversee general ledger activities, including reconciliations, journal entries, and month-end/year-end close.
  • Manage accounts payable, accounts receivable, and payroll processes.
  • Ensure compliance with all federal, state, and healthcare-specific financial regulations, including audits and tax filings.
  • Serve as primary liaison with external auditors and maintain strong internal controls.
  • Identify opportunities to improve integration between billing and accounting functions.

Financial Analysis & Strategy

  • Develop and maintain financial models to support budgeting, forecasting, and long-term strategic planning.
  • Analyze billing and financial data to identify trends, improve revenue streams, and reduce operational costs.
  • Prepare dashboards and reports highlighting KPIs such as denial rates, AR days, claim turnaround times, and revenue per patient.
  • Conduct scenario and impact analyses related to payer contracts, reimbursement rates, and regulatory changes.
  • Provide financial insights and recommendations to senior leadership for operational and strategic decision-making.
  • Monitor cash flow and liquidity to ensure financial stability and support future investments.

Other Duties

  • Perform other duties as assigned by the COO or leadership team to support the overall goals of the organization.

Qualifications


Qualifications

  • Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field required; CPA, CMA, or MBA strongly preferred.
  • Minimum 5 years of experience in healthcare billing and accounting, including at least 2 years in a supervisory or leadership role.
  • Advanced proficiency in healthcare billing software (Epic, Cerner, Meditech, etc.) and accounting platforms (QuickBooks, SAP, or equivalent).
  • Strong knowledge of GAAP, healthcare financial regulations, and medical coding standards (ICD-10, CPT, HCPCS).
  • Demonstrated ability to analyze complex financial and billing data, develop models, and provide actionable insights.
  • Excellent leadership, communication, and interpersonal skills with the ability to mentor and develop teams.
  • Strong problem-solving, organizational, and time-management skills with a proven ability to meet deadlines in a fast-paced environment.
  • Must pass background check, drug screen, TB screening, and physical exam.

Work Environment

  • Full-time, onsite role within a healthcare facility.
  • Occasional travel required to other sites in the metropolitan area.
  • Fast-paced environment with strict billing cycle and reporting deadlines.

Salary : $70,000 - $90,000

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