What are the responsibilities and job description for the Billing Operations Specialist position at WOUND CENTRICS LLC?
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
- 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.