Billing Operations Specialist

Job SummaryWe 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 ResponsibilitiesOperations & Staff ManagementManage 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 SupportAssist 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 AdministrationManage 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 CoordinationReview 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 CollaborationParticipate in weekly meetings with credentialing, billing, payment posting, and authorization teams to resolve operational and reimbursement issues.Qualifications5+ 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. J-18808-Ljbffr