Supervisor, Patient Financial Services

Monday - Friday:  8 -5PM

Preferred Location: North Carolina 

Position Summary
The Supervisor,Patient Financial Services provides leadership and operational oversight for a team of approximately 17 Insurance Specialists supporting Medicaid, Medicaid Managed Care, Medicaid Behavioral Health, Veterans Affairs (VA), and TRICARE accounts. This role is responsible for ensuring high-quality performance, operational efficiency, and compliance with payer and regulatory requirements, with a strong emphasis on staff development, training, and process improvement.

Key Responsibilities

• Supervise and support a team of approximately 17 Insurance Specialists, providing day-to-day leadership, guidance, and performance management.
• Monitor and manage team quality, productivity, and efficiency metrics to ensure departmental goals and service standards are consistently met.
• Provide ongoing coaching, training, and professional development to strengthen team performance and support employee growth.
• Ensure accurate navigation and utilization of the EPIC system for insurance verification, claims follow-up, and documentation.
• Serve as a subject matter expert on North Carolina Medicaid guidelines, maintaining in-depth knowledge of regulations, policies, and payer requirements.
• Ensure team compliance with Medicaid, Medicaid Managed Care, Medicaid Behavioral Health, VA, and TRICARE guidelines and workflows.
• Identify opportunities to improve processes, workflows, and performance outcomes, and lead implementation of improvements at the departmental level.
• Collaborate with leadership and cross-functional partners to address operational challenges and support department objectives.

Qualifications

• Education: High School Diploma or GED, required. 2 Year / Associate Degree, required. 4 Year / Bachelors Degree, preferred.
• Experience: 
  • Two years of Revenue Cycle, customer service or related experience; required.
  • Three years of Revenue Cycle, customer service or related experience, preferred.
  • One year of Leadership experience, preferred.
• Licensure/Certification: Coding Certification - CPC, RHIT or RHIA; preferred.
• Additional Skills Required:
  • Ability to successfully complete generic and department-specific skills validation and competency testing.
  • Understands and can apply knowledge of decision support applications, data source systems and operational procedures and appropriate internal controls.
  • Human relations and interpersonal skills necessary for interacting with management, team members and administration.
  • Excellent verbal and written communication skills.
  • Proficient in Word and Excel.
  • Ability to effectively train new and existing team members.
  • Ability to design, analyze and implement processes surrounding billing, third party relationships, compliance, collections, and other financial functions to ensure effective and efficient operations.
• Additional Skills Preferred:
  • Operationally understand and navigate the Epic system.
  • Coding knowledge (CPT, HCPCS, ICD10).
  • Medical Terminology.
  • Knowledge of Billing Guidelines, Payor Guidelines and CCI Edits.