CENTRAL BUSINESS OFFICE SUPERVISOR
Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors.
Position Summary:
The Central Business Office (CBO) Supervisor serves as the operational leader of the organization's billing and accounts receivable functions, providing day-to-day leadership and oversight of departmental operations across all assigned care settings. This position is accountable for ensuring the department consistently achieves established performance, quality, compliance, productivity, reimbursement, and customer service expectations while supporting the organization's overall Revenue Cycle strategy.
Working under the direction of the Central Business Office Manager, the Supervisor translates departmental goals and strategic priorities into daily operational execution by coordinating workflow, monitoring productivity and quality, resolving operational issues, developing staff, and ensuring departmental performance standards are consistently achieved. The Supervisor serves as the primary frontline leader for assigned staff, fostering a culture of accountability, collaboration, service excellence, continuous improvement, and operational excellence.
The Supervisor provides technical leadership and operational oversight for billing, claims management, reimbursement, accounts receivable, denial management, appeals, payment variance resolution, and related billing functions. This position serves as a subject matter resource for complex billing and reimbursement issues while supporting operational continuity during periods of increased workload, staffing shortages, system changes, or organizational initiatives.
The Supervisor collaborates closely with Patient Access, Patient Engagement, Coding & Revenue Integrity, Health Information Management (HIM), clinical departments, providers, Finance, Compliance, Information Technology, and external payers to promote accurate charge capture, timely reimbursement, regulatory compliance, operational efficiency, and an exceptional patient financial experience across the Revenue Cycle continuum.
The Central Business Office supports billing and reimbursement activities across the organization's Critical Access Hospital (CAH), Rural Health Clinic (RHC), Hospital-Based (HB), Professional Billing (PB), Emergency Medical Services (EMS), and other applicable Revenue Cycle operations. The Supervisor is expected to maintain a working knowledge of the unique operational, reimbursement, regulatory, and compliance requirements associated with these care settings and apply that knowledge to support effective departmental operations and organizational financial performance.
Essential Functions (Responsibilities/Accountabilities):
Leadership at Horizon Health extends beyond managing daily operations. Revenue Cycle Supervisors are expected to lead people first and operations second, recognizing that engaged, knowledgeable, and accountable employees are the foundation of exceptional operational performance. Success is measured through employee development, operational excellence, financial performance, quality, regulatory compliance, customer service, collaboration, and continuous improvement. Supervisors are expected to model the organization's values while promoting accountability, innovation, teamwork, and exceptional service throughout the Revenue Cycle.
The responsibilities outlined below represent the core leadership accountabilities of the position and are intended to support consistent operational performance, employee engagement, and achievement of the organization's strategic Revenue Cycle objectives.
Department Operations
The Central Business Office Supervisor is responsible for the daily operational oversight of institutional and professional billing functions across all assigned care settings. The Supervisor ensures billing operations are performed accurately, efficiently, timely, and in compliance with organizational policies, regulatory requirements, and payer expectations.
Responsibilities include:
- Oversees daily billing operations across Critical Access Hospital (CAH), Rural Health Clinic (RHC), Hospital-Based (HB), Professional Billing (PB), Emergency Medical Services (EMS), and other assigned service lines.
- Coordinates daily workflow and operational priorities to ensure timely claim generation, billing, and
- reimbursement activities.
- Identifies operational barriers and implements appropriate solutions to maintain workflow continuity and departmental performance.
- Promotes standardized workflows and operational consistency across all billing functions.
- Supports departmental readiness for operational, regulatory, and organizational changes.
Technical & Operational Responsibilities
Provides operational oversight of billing and reimbursement activities to ensure accurate claim submission, timely reimbursement, and effective management of outstanding accounts receivable.
Responsibilities include:
- Oversees claim generation, billing edits, claim submission, and claim status monitoring.
- Monitors billing work queues to ensure timely processing of held claims, billing edits, and outstanding accounts.
- Oversees accounts receivable follow-up activities to promote timely reimbursement and reduce outstanding balances.
- Ensures timely resolution of claim rejections, denials, payment variances, and reimbursement issues.
- Oversees appeals, corrected claims, reconsiderations, and supporting documentation in accordance with payer requirements.
- Monitors timely filing requirements and implements corrective actions to minimize filing risk.
- Oversees payment variance review, reimbursement follow-up, and account resolution activities.
- Supports optimization of billing workflows to improve efficiency, reduce rework, and accelerate cash collections.
Compliance & Technical Oversight
Ensures departmental operations comply with applicable federal, state, regulatory, payer, and organizational requirements while supporting accurate reimbursement and Revenue Cycle integrity.
Responsibilities include:
- Ensures compliance with applicable billing regulations, payer requirements, organizational policies, and reimbursement guidelines.
- Maintains working knowledge of reimbursement methodologies applicable to Critical Access Hospital (CAH), Rural Health Clinic (RHC), Hospital-Based (HB), Professional Billing (PB), and Emergency Medical Services (EMS).
- Collaborates with Coding & Revenue Integrity to ensure claims accurately reflect coded services, documentation, and charge capture.
- Supports implementation of regulatory updates, payer policy changes, system enhancements, and operational improvements affecting billing operations.
- Participates in internal audits, quality reviews, compliance activities, and corrective action initiatives.
- Promotes accurate, compliant, and complete billing practices throughout the department.
Cross-Functional Collaboration
Collaborates with Revenue Cycle departments, clinical operations, providers, and external stakeholders to improve operational efficiency, reimbursement performance, and the patient financial experience.
Responsibilities include:
- Partners with Patient Access, Coding & Revenue Integrity, Health Information Management (HIM), Finance, Information Technology, Compliance, clinical departments, providers, and other operational leaders to resolve billing issues and improve Revenue Cycle performance.
- Serves as a departmental resource for complex billing, reimbursement, payer, and operational questions.
- Collaborates with external payers and business partners to resolve claim processing, reimbursement, and operational issues.
- Participates in interdisciplinary initiatives designed to improve charge capture, reduce denials, optimize reimbursement, and enhance operational performance.
- Promotes effective communication and collaboration throughout the Revenue Cycle continuum.
Performance & Accountability
Monitors departmental performance using established operational, financial, quality, and customer service metrics to drive accountability, operational excellence, and continuous improvement.
Key performance indicators may include, but are not limited to:
Financial Performance
- Accounts Receivable Aging
- Cash Collections
- Timely Filing Compliance
- Reimbursement Performance
Operational Performance
- Clean Claim Rate
- Claim Submission Timeliness
- Work Queue Aging
- Billing Productivity
- Turnaround Time
Quality & Compliance
- Billing Accuracy
- Denial Rate
- Denial Recovery
- Audit Results
- Regulatory Compliance
Workforce & Service Excellence
- Customer Service Performance
- Cross-Training
- Employee Development
- Operational Efficiency
Utilizes operational reports, dashboards, work queues, and performance metrics to identify trends, prioritize work, allocate resources, improve departmental performance, and support organizational goals.
Specialized Responsibilities
Performs or oversees specialized billing functions as assigned, which may include:
- Credit balance management
- Refund processing
- Secondary and tertiary billing
- Government reimbursement initiatives
- Medicare cost report support
- Vendor coordination
- Patient payment program support
- Financial assistance coordination
- Special billing projects
- System implementations, testing, and workflow optimization
- Other departmental initiatives assigned by leadership
Operational Accountability
The Central Business Office Supervisor is accountable for ensuring assigned departmental operations are executed accurately, efficiently, timely, and in compliance with organizational policies, regulatory requirements, and payer expectations. Through effective operational oversight, technical expertise, collaboration, and data-driven decision-making, the Supervisor supports optimal financial performance, operational excellence, regulatory compliance, and an exceptional patient financial experience while advancing the organization's strategic Revenue Cycle objectives.
The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital's goals and objectives.
Position Requirements:
Education
- High school diploma or equivalent required.
- Associate degree in healthcare administration, business administration, finance, health information management, or a related field preferred.
- An equivalent combination of education and progressive healthcare Revenue Cycle experience may be considered.
Experience
- Three (3) to five (5) years of progressive healthcare billing, accounts receivable, reimbursement, or related Revenue Cycle experience required.
- Demonstrated experience with claim submission, billing edits, accounts receivable follow-up, denial resolution, appeals, payment processing, and payer requirements.
- Experience within both Hospital Billing and Professional Billing operations preferred.
- Previous Lead, supervisory, training, or demonstrated leadership experience preferred.
- Experience supporting billing and reimbursement operations within Critical Access Hospital (CAH) and Rural Health Clinic (RHC) care settings strongly preferred.
- Experience with Hospital-Based (HB), Professional Billing (PB), Emergency Medical Services (EMS), outpatient, and ambulatory billing operations preferred, as applicable to the assigned area.
Care Setting and Reimbursement Knowledge
- Working knowledge of billing and reimbursement operations across the organization’s care settings, including Critical Access Hospital, Rural Health Clinic, Hospital-Based, Professional Billing, Emergency Medical Services, outpatient, and ambulatory services.
- Understanding of the unique billing, reimbursement, regulatory, and compliance requirements associated with CAH and RHC operations.
- Working knowledge of Medicare, Medicaid, commercial payer, managed care, workers’ compensation, and other governmental or third-party payer requirements.
- Knowledge of applicable reimbursement methodologies, claim formats, billing rules, timely filing requirements, and payer-specific claim submission standards.
- Understanding of the interdependencies among Patient Access, Coding, Revenue Integrity, clinical documentation, charge capture, billing, denials, payment posting, and accounts receivable follow-up.
Technical Knowledge & Skills
- Working knowledge of institutional and professional claim submission processes, including applicable claim forms and electronic transaction workflows.
- Knowledge of billing edits, claim rejections, payer denials, appeals, corrected claims, refunds, credit balances, and account resolution processes.
- Ability to interpret remittance advice, explanation-of-benefit information, payer correspondence, billing reports, and accounts receivable data.
- Ability to monitor claim status, work queues, aging, timely filing exposure, denial trends, and reimbursement performance.
- Proficiency with electronic health records, patient accounting systems, clearinghouse applications, payer portals, and Revenue Cycle reporting tools.
- Proficiency with Microsoft Office applications, including Excel.
- Ability to analyze operational data, identify root causes, recognize payer or workflow trends, and recommend corrective action.
Leadership and Professional Competencies
- Demonstrated ability to supervise, coach, develop, and hold staff accountable for performance.
- Ability to organize, prioritize, and delegate work across multiple billing and accounts receivable functions.
- Strong problem-solving, critical-thinking, and decision-making skills.
- Strong written and verbal communication skills.
- Ability to communicate complex billing and reimbursement information clearly to staff and organizational stakeholders.
- Demonstrated ability to establish effective working relationships with employees, patients, providers, payers, leadership, and internal departments.
- Strong customer service orientation and ability to manage escalated billing or account concerns professionally.
- Ability to maintain confidentiality and exercise sound judgment when handling sensitive patient, employee, and financial information.
- Demonstrated professionalism, reliability, adaptability, accountability, and commitment to organizational values.
Systems, Data and Technology
- Demonstrated ability to effectively utilize electronic health records (EHR), revenue cycle applications, patient accounting systems, billing systems, payer portals, clearinghouses, and other technology platforms used to support departmental operations.
- Proficiency with Microsoft Office applications, including Outlook, Word, and Excel.
- Ability to interpret and utilize operational reports, dashboards, and system-generated work queues to monitor performance and support decision-making.
- Experience participating in system implementations, workflow redesign, testing, optimization, or technology enhancement initiatives preferred.
Data Analysis & Performance Improvement
- Strong analytical, critical-thinking, and problem-solving skills.
- Ability to analyze operational, financial, and quality performance data to identify trends, prioritize opportunities, and support continuous improvement.
- Ability to use data to monitor productivity, quality, customer service, compliance, and departmental performance.
Pay Range:
Pay ranges from $26.688/hour to $42.740/hour (rate of pay is based on applicable years of experience)
Horizon Health is committed to caring not only for our patients, but for our staff as well. We offer you an extensive total compensation and benefits package. As an employee of Horizon Health, your benefits include a competitive salary, medical, dental and vision insurance, Employee 403(b), health savings account with Company match, as well as Vacation, Sick and Paid Holidays.
Intrigued? Don’t wait, apply today. We are actively reviewing applicants for the Central Business Office Supervisor role. Be part of an organization that is dedicated to the growth and development of its colleagues. Here at Horizon Health, our employees speak for themselves. Join our family & begin an incredible career!
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