Reimbursement Supervisor – Front End
NAVERIS
full-time
Posted on:
Location Type: Remote
Location: Remote • Massachusetts, North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Supervise, train, and evaluate the performance of front-end billing and insurance verification staff
- Oversee daily front-end billing operations, including insurance verification, prior authorization workflows, and financial assistance programs
- Serve as an escalation point for complex billing inquiries, discrepancies, and patient complaints, ensuring timely resolution and clean claim submission
- Assist in developing, documenting, and maintaining front-end billing policies and procedures
- Ensure compliance with all applicable billing regulations and company policies, including HIPAA; conduct audits to identify errors and improvement opportunities
- Recommend process improvements to enhance efficiency, productivity, and cash flow
- Stay current on insurance policies, coding guidelines, and federal/state regulations through ongoing education
- Communicate effectively with patients and providers regarding billing policies, financial assistance programs, EOBs, and member responsibility in escalated cases
- Critically assess difficult situations and escalate to leadership when appropriate
- Maintain a strong understanding of the reimbursement lifecycle and communicate it clearly across teams
- Maximize utilization of systems, tools, and resources to support front-end reimbursement activities
- Manage multiple priorities with urgency in a fast-paced environment
- Ensure compliance with all Federal and State legislation related to billing and reimbursement
Requirements
- 4+ years of experience in reimbursement or revenue cycle management within a diagnostics company, laboratory, or commercial payer environment
- Bachelor’s degree or equivalent experience
- Prior experience leading or supervising a billing, insurance verification, or reimbursement team
- Experience with Xifin, Quadax, or Telcor preferred
- Strong understanding of medical benefit structures, including Federal, State, PPO, HMO, and indemnity plans
- Working knowledge of CPT, ICD-10, and HCPCS coding, as well as LCD/NCD coverage guidelines
- Strong problem-solving skills with attention to detail, judgment, and follow-through
- Excellent verbal and written communication skills with a strong customer service mindset
- Strong troubleshooting, organizational, and time-management skills
- Ability to adapt to changing business needs
- Self-starter with the ability to work independently while supervising others
Benefits
- Competitive compensation
- Work/life balance
- Remote work opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
revenue cycle managementbilling operationsinsurance verificationprior authorization workflowsCPT codingICD-10 codingHCPCS codingLCD coverage guidelinesNCD coverage guidelinescompliance auditing
Soft skills
problem-solvingattention to detailjudgmentfollow-throughverbal communicationwritten communicationcustomer serviceorganizational skillstime-managementadaptability