Medical Billing Supervisor

Description

 About Us

Union County Orthopaedic Group, a division of OrthoNJ, LLC, is a fast-paced, patient-centered medical practice specializing in orthopaedics, pain management, and podiatry across three convenient New Jersey locations. We are seeking an experienced Billing Supervisor to lead our billing team, drive revenue cycle performance, and ensure the accuracy and efficiency of our billing operations.

Position Overview

The Billing Supervisor is responsible for overseeing the day-to-day workflow of the billing department, including follow-up on rejected claims and overdue balances, payor relationship management, and patient accounts receivable. This role is both a hands-on operational position and a people leadership role — requiring someone who can coach and develop staff while also rolling up their sleeves to keep the revenue cycle running smoothly.

Requirements

What You'll Do

Leadership & Supervision

• Assist with recruitment, discipline, and termination of Reimbursement and Patient Collections staff
• Train, develop, and oversee the performance of billing team members; conduct regular one-on-ones to address key issues, A/R performance, and growth opportunities
• Monitor overall department workload and distribute work accordingly; ensure coverage during vacations and absences
• Provide in-service training to staff on insurance requirements and billing updates

Revenue Cycle Operations

• Maintain working knowledge of all key billing functions including claims processing, payment posting, insurance follow-up, and patient collections
• Analyze aged A/R reports, days in receivable, and collection statistics by payor; present findings to physicians as needed
• Perform quarterly billing audits to ensure timely and accurate charge and payment posting
• Conduct quarterly reviews of EOB forms from commercial and managed care payors
• Meet with physicians to discuss complex or difficult claims
• Monitor patient payment plan adherence and intervene as needed
• Identify opportunities to leverage technology for operational improvements

 Reimbursement & Managed Care

• Maintain and update the practice fee schedule, CPT, ICD-10-CM, adjustment, and payment codes
• Maintain and distribute contracted payment schedules from carriers; input/update into the practice management system
• Request updated payment schedules from contracted carriers annually and prepare quarterly fee/payment comparative reports
• Maintain carrier contracts and assist with credentialing applications and reapplications as requested
• Distribute formularies to clinicians and stay current on specialty, Medicare, Medicaid, and carrier updates

Compliance & General

• Uphold HIPAA compliance standards; report identified or suspected violations to the Privacy Officer
• Maintain coding compliance standards; actively participate on or support the Compliance Team
• Maintain detailed knowledge of practice management systems and EMR as it relates to job functions
• Attend staff meetings and continuing education sessions as required

 What We're Looking For

• Minimum 2 years of medical office management experience, preferably in a physician group practice — required
• Revenue cycle experience in a physician group practice setting — required
• Orthopaedic billing experience — required
• Commercial insurance billing experience (e.g., BCBS, Aetna, Cigna, UHC) — required
• Proven knowledge of CPT and ICD-10-CM coding for orthopaedic, podiatry, and pain management procedures
• Strong understanding of managed care contractual arrangements and accounts receivable processes
• Working knowledge of practice management systems and electronic medical records (ModMed/EMA experience a plus)
• Strong analytical skills with the ability to interpret and present A/R data
• Excellent verbal, written, and interpersonal communication skills
• Bilingual (English/Spanish) a plus — our patient population includes Spanish-speaking patients and the ability to communicate in both languages is highly valued
• Knowledge of HIPAA and OSHA guidelines
• HS diploma or GED required; Bachelor's degree in Business or related field preferred

Why Join the UCOG Division of OrthoNJ, LLC?

We offer a collaborative, supportive environment where strong performers are recognized and leadership is valued. If you're an experienced billing professional ready to take ownership of a department and make a meaningful impact, we'd love to hear from you.

Union County Orthopaedic Group is an equal opportunity employer.

************************************************************

OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hiring range for this role is $62k-$80k annually. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc.) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.