POSITION SUMMARY

The Billing Supervisor is responsible for overseeing Ava Health’s billing operations while actively participating in day-to-day revenue cycle functions. This role is both supervisory and hands-on, ensuring accuracy in claims submission, payment posting, and denial management while leading a small team of billing specialists. The Billing Supervisor works closely with clinical, admissions, and finance staff to support efficient, compliant, and client-centered revenue cycle processes aligned with Ava Health’s values of Agency, Service, and Purpose.

SKILLS AND COMPETENCIES

• Commitment to Ava Health’s core values of Agency, Service, and Purpose.
• Strong understanding of behavioral health billing, including Medicaid REIS, commercial, and TRICARE.
• Hands-on proficiency with claims processing, payment posting, and denial management.
• Demonstrated leadership and supervisory skills with ability to coach and mentor staff.
• Excellent problem-solving and analytical skills.
• Strong communication and collaboration across clinical and administrative teams.
• High attention to detail and accuracy in a fast-paced environment.
• Proficiency with EMR and billing systems (Ritten, other platforms).

QUALIFICATIONS

• Associate’s or Bachelor’s degree in business, healthcare administration, or related field preferred.
• Minimum 3–5 years of billing experience, with at least 1–2 years in a supervisory or lead role.
• Knowledge of behavioral health or substance use disorder treatment billing required.
• Familiarity with payer portals, clearinghouses, and reporting tools.

• Leadership & Supervision
• Provide direct supervision, guidance, and support to billing staff.
• Monitor team performance and provide training, coaching, and feedback.
• Ensure departmental goals align with organizational objectives and compliance standards.
• Hands-On Billing Functions
• Process and submit claims to Medicaid, commercial insurers, TRICARE, and other payors.
• Post payments and reconcile accounts to ensure accuracy.
• Manage claim denials, rejections, and appeals, escalating complex cases as needed.
• Maintain clean claim rates and optimize billing workflows.
• Compliance & Quality
• Ensure all billing practices comply with federal, state, and payer regulations, as well as Joint Commission standards.
• Maintain current knowledge of payer rules and reimbursement guidelines.
• Partner with compliance staff on audits and corrective action plans.
• Collaboration & Communication
• Serve as a liaison between billing, admissions, and clinical staff to resolve documentation or authorization issues.
• Participate in cross-departmental meetings to address revenue cycle performance.
• Provide timely reporting on KPIs, including A/R, net collection rate, denial rates, and aging.
• Process Improvement
• Identify inefficiencies and recommend improvements in billing systems and workflows.
• Support EMR optimization and integration with billing processes.
• Develop policies and procedures for billing operations.