Billing and Insurance Supervisor

University of California, Santa Barbara; Santa Barbara (CA); In loco; USD 74.000 - 131.000; Tempo pieno

Vantaggi offerti da questo lavoro

Full Benefits

Descrizione del lavoro

UC Santa Barbara is seeking a Billing and Insurance Supervisor within Student Health Services. The role oversees patient billing, insurance administration, and third-party reimbursement, reporting to the Director of Revenue and Insurance Operations.

You will supervise a 4 FTE team and ensure compliant, efficient billing workflows on campus. Responsibilities include chargemaster oversight, coding reviews, audits, and collaboration with campus partners to optimize revenue cycles while maintaining

Competenze

• Bachelor's degree in finance, economics, business administration, or equivalent work experience.
• 4-6 years medical billing experience.
• Knowledge of billing and health insurance administration, preferably in Student Health.
• Proven supervisory experience over billing staff.
• Ability to analyze billing data and recommend changes.
• Strong problem-solving and research skills.
• Ability to maintain confidentiality of medical records and PHI.

Mansioni

• Oversee patient billing operations and third-party reimbursements.
• Manage SHIP operations and enrollment reconciliation.
• Direct and develop billing and insurance staff (4 FTE).
• Ensure compliance with HIPAA and payer regulations.
• Lead third-party billing strategy and special projects.
• Coordinate with Director of Revenue and Insurance Operations.

Conoscenze

Staff supervision

Billing and insurance operations

Data analysis

Regulatory compliance

Effective communication

Problem solving

Attention to detail

Formazione

Bachelor's degree in finance, economics, business administration, or equivalent work experience

Strumenti

HIPAA/PHI knowledge

ICD-10, CPT coding knowledge

Descrizione del lavoro

Job ID: 89820

Location: UCSB Campus

Full Time

Job Posting Details

Position Number: 41272572

Payroll Title: PAT BILL AND COLL SUPV 1 (004670)

Job Code: 004670

Job Open Date: 11/3/26

Application Review Begins: 11/17/26

Department Code (Name): STHL (STUDENT HEALTH)

Percentage of Time: 100

Union Code (Name): 99 - Non-Represented (PPSM)

Employee Class (Appointment Type): Staff: Career

FLSA Status: Exempt

Classified Indicator Description (Personnel Program): PSS

Salary Grade: Grade 21

Pay Rate/Range: The budgeted salary range that the University reasonably expects to pay for this position is $73,800/year to $92,742/year. Salary offers are determined based on final candidate qualifications and experience; the budget for the position; and the application of fair, equitable, and consistent pay practices at the University. The full salary range for this position is $73,800/year to $131,200/year.

Work Location: Student Health

Working Days and Hours: Monday - Friday, 8am - 5pm, occasional weekend day/weeknights possible

Benefits Eligibility: Full Benefits

Department Marketing Statement:

Student Health is a full-service on-campus primary healthcare facility for UCSB students. Our specialty services include psychiatry, gynecology, sports medicine, and behavioral health. Our auxiliary services include on-site laboratory, pharmacy, and x-ray.

Benefits of Belonging

Working at UC means being part of this vibrant institution that shines a light on what is possible. People make UC great, and UC recognizes your contributions by making this a great place to work. Excellent retirement and health are just one of the rewards. Learn more about the benefits of working at UC

Brief Summary of Job Duties:

The Billing and Insurance Supervisor provides administrative oversight and operational leadership for patient billing, insurance administration, and third-party reimbursement activities within Student Health Services (SHS). Reporting to the Director of Revenue and Insurance Operations, this position directly oversees and manages patient billing operations, Student Health Insurance Plan (SHIP) operations, staff management, and initiatives designed to expand and optimize third-party billing and reimbursement. The Billing and Insurance Supervisor directs the day-to-day operations of billing and insurance functions, including the billing and insurance staff (4 FTE), ensuring accurate, timely, compliant, and efficient claims processing and reimbursement. Responsibilities include oversight of the chargemaster and fee schedules, medical coding review, claim audits, billing data quality, denial and payment trend analysis, bursar billing, and coordination of provider feedback. The position monitors regulatory and payer requirements and ensures billing practices comply with applicable federal, state, UC, and payer regulations. Additionally, they ensure compliant fee schedule management, optimal revenue cycle workflows, and accurate insurance reconciliation while supporting students, clinic providers, and campus partners.

Required Qualifications:

• Bachelor's degree in finance, economics, business administration, or equivalent work experience.
• 4-6 years medical billing working knowledge and experience.
• Working knowledge of billing and/or health insurance administration and operations, preferably in Student Health, Medical Group of Ambulatory Outpatient Clinic Operations.
• Proven experience, skill and ability to effectively manage and supervise staff performing in insurance and billing operations.
• Demonstrated skills to analyze billing and collections data and makes recommendations to changes in clinical practice, reporting and documentation practices.
• Ability to thoroughly analyze a problem, perform research, define problems/objectives, formulate logical conclusions or alternatives and make recommendations, and implement solutions.
• Ability to respond with flexibility and efficiency to frequent changes in task focus, competing priorities and multiple deadlines.
• Ability to work quickly and accurately with close attention to details.
• Effective communication skills to interact with a variety of staff, students or others in a daily work environment.
• Ability to compose reports, correspondence, instructions and other documents with attention to clarity, tone, composition and mechanics.
• Demonstrated skills in operating computers and skills in using email and internet applications in a Windows environment.
• Ability to maintain and enforce confidentiality of medical records and information.
• Knowledge of HIPAA and PHI guidelines.
• Proficient use and extensive working knowledge of billing procedures, applications and use of ICD 10, CPT and modifiers using professional coding guidelines consistent with University Compliance, State and Federal regulations.
• Able to work independently and follow through on assignments.
• Ability to work cooperatively and effectively in group/team settings.
• Ability to communicate effectively with various departments, internal and external partners in advocating for the department or campus' position on insurance and patient billing related issues.

Preferred Qualifications:

• Supervisory experience preferably in a unionized environment.
• Certified Professional Coder (CPC) Certificate

Special Conditions of Employment:

• Mandated reporting requirements of Child Abuse
• UCSB Campus Security Authority under Clery Act
• Works in patient care environment
• Satisfactory criminal history background check
• UCSB is a Tobacco-Free environment

Misconduct Disclosure Requirement:

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.

"Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

UC Sexual Violence and Sexual Harassment Policy

UC Anti-Discrimination Policy

Abusive Conduct in the Workplace

Job Functions and Percentages of Time:

30% Patient Billing Operations

Directs, manages and holds total administrative oversight over patient billing operations, including functions consisting of chargemaster and fee schedule development and maintenance, claim audit and reporting, medical coding review, bursar billing, provider feedback coordination, etc. Reports on a consistent basis to the SHS Executive Leadership Committee (ELC) the claim payment and/or denial trends, and the quality of clinic billing and claims data. Directs the chargemaster and fee schedule adjustment process to assure that adjustments comply with Federal, State and UC regulations and that appropriate billing codes are being implemented. Working closely with the Director of Revenue and Insurance Operations, develops and directs appropriate recommendations for patient billing improvements in the current processes using problem-solving techniques, methodologies, strategies and evaluation criteria including organizational structure, performance criteria and other complex solutions to the operations of the department for change implementations. Develops and implements sound coding procedures and practices based to reduce or avoid contested or denied claims and to improve reimbursement turnaround time. Optimizes revenue by capturing all reimbursable services while ensuring compliance with government and payor regulations. Periodically audits charges for appropriate CPT and ICD 10 coding. Develops, recommends and oversees implementation of new policies and procedures related to patient billing. Provides patient billing education and assistance to administration, providers and staff regarding all aspects of coding and patient billing and any changes in billing and payor requirements.

15% Student Health Insurance Plan (SHIP) Operations

Oversees and monitors the SHIP waiver process including reversals and audits. Oversees and coordinates quarterly reconciliation of SHIP enrollment roster and premium payments from data provided by the UC Office of the President Directs the development and maintenance of departmental insurance web page, brochures, handouts, etc to meet the informational needs of the students and various campus and external partners. Attends and provides information at SHIP tabling events on campus such as orientation events, fairs, etc.

40% Team Management and Supervision

Responsible for staff development to include training on industry updates. Sustains knowledgeable and well-informed staff in all aspects of patient billing and insurance coverage. Maintains a motivated and goal oriented staff to achieve department goals. Recruits, hires, trains, mentors, supervises, and evaluates billing and insurance staff. Creates a strong culture of teamwork and customer service to ensure the quality of daily operations, effective interdepartmental collaborations, and the timely achievement of objectives. Establishes organizational plan and job assignments to meet changing and evolving departmental needs. Maintains and updates job descriptions as appropriate. Participates in the recruitment, selection and onboarding activities as needed. Plans, organizes, directs and controls administrative functions of the department, establishing and delegating tasks, duties, priorities and levels of responsibility for members of the department. In collaboration with Student Affairs Business Administration (SABA), develops problem solving solutions to address personnel issues, conflicts with or amongst staff and other related issues to reduce formal or informal grievances, discipline and terminations. Reviews ongoing processes and procedures, modifies as required by technological advances, changing priorities, or development of new programs. Implement position re-assignments or reorganizations. Prepares timely and effective written employee evaluations.

15% Third-Party Billing Strategy and Special Projects

Leads third-party billing expansion (including new commercial carriers, government funded plans). Creates project timelines, gathers data, assesses evolving student and patient-needs to drive process redesign, etc. Leads efforts and coordinates with internal and external partners to improve operational efficiencies and processes. Performs special projects and complex problem solving (planning/assessing/implementing) for new programs and benefits. Evaluates data, provides alternative solutions, recommends policies and/or implements actions/projects. Back up for billing and insurance operations duties during peak times and absences.

UC Vaccination Programs Policy:

As a condition of employment, you will be required to comply with the University of California Policy on Vaccinations Programs.

As a condition of Physical Presence at a Location or in a University Program, all Covered Individuals* must participate in any applicable Vaccination Program by providing proof that they are Up-to-Date with any required Vaccines or submitting a request for Exception in an Mandate Program or properly declining vaccination in an Opt-Out Program no later than the Compliance Date (Capitalized terms in this paragraph are defined in the policy.). Federal, state, or local public health directives may impose additional requirements.

For more information, please visit University of California Policy on Vaccinations - https://policy.ucop.edu/doc/5000695/VaccinationProgramsPolicy

*Covered Individuals: A Covered Individual includes anyone designated as Personnel or Students under this Policy who physically access a University Facility or Program in connection with their employment, appointment, or education/training. A person accessing a Healthcare Location as a patient, or an art, athletics, entertainment, or other publicly accessible venue at a Location as a member of the public, is not a Covered Individual.

Equal Employment Opportunity:

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

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