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RCM Medical Billing Operations Supervisor
Lifeline ConnectionsSupervising the medical billing operations within a behavioral health organization. Ensuring timely and accurate claim submissions while managing a team of specialists.
Posted 7/2/2026full-timeRemote • Washington • 🇺🇸 United StatesMid-LevelSenior💰 $21 - $25 per hourWebsite
About the role
Key responsibilities & impact- The RCM Medical Billing Operations Supervisor position works under the supervision of the RCM Manager.
- Oversees the front end of the medical billing cycle, namely timely and accurate claim submission processes.
- Supervises the Coding and Claim Review Specialists and Medical Billing Assistant.
- Ensures acceptable resolution of failed claims in the EHR to promote timely submission of claims.
- Monitors unbilled claims and upfront rejections.
- Responsible for coding and mapping in the EHR, maintaining payer information, billing configurations, fee matrices, and rules for the claim engine.
- Performs RCM Billing Audits and may assist in running regular reports to track department goals and progress.
- Provides direct supervision to the Coding and Claim Review Specialists and Medical Billing Assistant, meeting regularly to provide guidance, direction, support, and resources necessary for efficient job performance.
- Conducts quarterly and annual performance evaluations and assists staff in establishing and achieving individual goals aligned with departmental objectives.
- Troubleshoots, investigates, and resolves failed claims within the claim management system daily to ensure timely claim submission and reimbursement.
- Configures, maintains, and monitors payer billing settings, procedure code, bill-next, and adjustment reason code mappings within billing systems.
- Applies proactive problem-solving, analytical thinking, and attention to detail to identify, research, and resolve billing, coding, and claim processing issues.
Requirements
What you’ll need- Associate or bachelor’s degree in medical Billing and Coding, Health Information Management, Healthcare Administration, or a related field preferred.
- Minimum of five (5) years of experience in medical billing and coding, preferably within a nonprofit healthcare or behavioral health setting.
- Demonstrated experience working with claims clearinghouses, including identifying, researching, and resolving claim rejections and edits.
- Working knowledge of electronic claim transactions, including 837 EDI files and related healthcare billing standards.
- Comprehensive understanding of commercial insurance, Medicare, Medicaid, and managed care billing requirements, including Washington State Provider One Eligibility.
- Strong knowledge of ICD-10-CM, CPT, HCPCS, HCFA 1500, and UB-04 claim forms, as well as payer-specific reimbursement requirements and regulations.
- Proficient in Microsoft Excel, including the use of sorting, filtering, formulas, conditional formatting, pivot tables, and data analysis functions.
- Strong analytical and critical-thinking skills with the ability to identify trends, troubleshoot complex billing issues, and develop effective solutions.
- Excellent verbal and written communication skills with the ability to communicate clearly and professionally with staff, leadership, payers, and external stakeholders.
- Reliable attendance and dependability, with a demonstrated commitment to meeting job responsibilities and organizational expectations.
Benefits
Comp & perks- Multiple options for medical, dental, and vision coverage for employees and their eligible dependents.
- Employer-paid Short Term Disability, Long Term Disability, and Life Insurance.
- Access to supplemental coverage options.
- 401(k) retirement plan for full-time employees.
- Generous paid time off that increases with years of service.
- Paid holidays and personal holidays.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claim Submission ProcessesCoding And MappingBilling AuditsPayer Information ManagementClaim Processing Issues ResolutionData AnalysisHealthcare Billing StandardsPayer-Specific Reimbursement RequirementsPerformance EvaluationsTrend Identification
Soft Skills
Analytical ThinkingProblem-SolvingCommunication SkillsAttention To DetailLeadership