Billing Supervisor

Position Title: Billing Supervisor

Job Status: Full-Time

Work Schedule: Monday - Friday                                              

FLSA Status: Exempt

Benefits: Medical, Dental, Vision, 401K (Employer Contribution), Paid Time Off, Paid Holidays  

About Us:

Atlantic Orthopaedics and Sports Medicine, established in 1987, is a leading private, physician-owned healthcare organization specializing in orthopedic care and sports medicine. With a strong commitment to patient care and a track record of excellence, we are expanding our team and seeking a Billing Supervisor. This is a unique opportunity to join a team with extremely low turnover and high job satisfaction. 

Our main practice is located in Portsmouth, NH with additional offices in York, ME and Dover, NH (Opening in Winter of 2025).

Position Summary

Atlantic Orthopaedics & Sports Medicine is seeking a motivated and detail-oriented Billing Supervisor to join our dynamic team. In this role, you will be instrumental in managing the accuracy and efficiency of the billing process, ensuring that all surgical procedures and services are coded correctly for optimal reimbursement. Your responsibilities will include overseeing the assignment of appropriate medical codes, maintaining compliance with regulatory standards, and streamlining billing operations. By ensuring timely and accurate billing, you will play a vital role in supporting the financial health of our practice and the overall patient experience.

Working Relations

Positions reports to: Billing Manager

Internal Relationships: Office Staff, Providers

External relationships: Patients, Insurance Representatives

Position Requirements

Licenses or Certificates: Certified Professional Coder (CPC) is required

Education, vocational training, and experience:

• A minimum of an associate's degree in healthcare administration, business, or a related field is preferred. Certification in medical billing and coding (CPC, CCS, or similar) is required.
• At least 5-7 years of medical billing experience, with a strong preference for experience in orthopedic or specialty medical practices. Previous supervisory or leadership experience is required.
• Hands-on experience with medical billing software (e.g. ModMed, or equivalent) and proficiency in Microsoft Office applications (Word, Excel).
• Ability to be on-site in Portsmouth, NH. This role does not have the ability to be remote or hybrid.

Skills and Abilities

• Demonstrates in-depth knowledge of medical billing and coding, with expertise in ICD-10, CPT, and HCPCS coding, particularly in the orthopedic field.
• Effectively manages insurance billing processes, including private insurance, Medicare, and Medicaid claims, and excels in handling denials and appeals.
• Excels at analyzing billing data, identifying trends, and resolving discrepancies to optimize revenue cycle performance.
• Leads and motivates billing staff with proven supervisory and mentoring skills, ensuring high levels of performance and efficiency.
• Maintains exceptional attention to detail, ensuring billing accuracy and strict compliance with medical regulations and HIPAA.
• Communicates effectively with physicians, staff, and insurance companies to resolve complex billing issues.
• Uses medical billing software and Microsoft Office applications proficiently, ensuring streamlined operations.
• Solves complex billing problems with a strong ability to develop and implement strategies for process improvement.
• Organizes and manages multiple tasks efficiently, meeting deadlines in a fast-paced medical environment.
• Remains knowledgeable and up-to-date on healthcare laws, regulations, and billing compliance requirements.

Job Responsibilities

The Billing Supervisor’s tasks include, but are not limited to, the following:

• Oversees daily operations of the billing department to ensure timely submission of claims and payments.
• Assists with surgical coding, ensuring all procedures are accurately coded and compliant with regulatory standards for optimal reimbursement.
• Monitors accounts receivable, following up on unpaid claims and ensuring prompt revenue collection.
• Acts as a buffer between billing staff and upper management, facilitating clear communication and resolving any internal issues.
• Investigates and resolves billing discrepancies and payment issues with insurance companies.
• Trains and mentors billing staff, ensuring they stay current on coding, insurance guidelines, and updated procedures.
• Analyzes revenue cycle performance and implements strategies to improve cash flow and reduce claim denials.
• Revamps billing workflows and processes to enhance efficiency and streamline operations within the department.
• Ensures the practice remains compliant with federal, state, and local regulations, including HIPAA and coding guidelines.
• Prepares monthly and quarterly billing and revenue reports for management review.
• Collaborates closely with clinical teams to ensure accurate documentation and coding of orthopedic procedures.
• Assists patients with billing inquiries, providing clear explanations of their financial responsibilities.
• Stays informed on changes in billing regulations, coding updates, and insurance policies to optimize billing practices.

Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, qualifications, or working conditions associated with the role.