Billing Supervisor

Paychex Inc.; Commack (NY); Hybrid; USD 65,000 - 72,000; Full time

Benefits offered by this job

Life insurance

PTO

401K

Student loan reimbursement

Job summary

Paychex Inc. is seeking a Billing Supervisor to oversee the MSO billing operations, ensure accurate charge entry and maintain compliant processes. This role requires hands-on leadership of staff handling claims, coding, and patient insurance activities.

The position focuses on process improvement, training, and ensuring timely payment posting and A/R follow-up while maintaining HIPAA compliance and collaboration with CPMP MSO. Hybrid work arrangement offered.

Qualifications

• High school diploma or equivalent required.
• Minimum 5 years of experience in medical billing and collections.
• Strong understanding of medical coding (CPT, ICD-10) and billing fertility procedures.
• Strong understanding of medical insurance terminology and procedures.
• Knowledge of insurance regulations and reimbursement methodologies.
• Effective communication and listening skills.
• Working knowledge of Electronic Medical Records and other software.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Ability to display compassion towards patients and coworkers.
• Strong problem resolution skills.
• Ability to work independently and as part of a team.
• Flexible schedule.

Responsibilities

• Oversees the operations of the billing department, charge entry, and edits.
• Serves as the practice expert and go-to person for all MSO processes.
• Plans and directs patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Analyze and audit billing and claims for accuracy and completeness.
• Work with CPMP on claim submission, payment posting, A/R follow up and reimbursement management.
• Liaison for CPMP MSO.
• Handle all pre go-live and post go-live operations with office staff, including training set-up, Cerner and SPM set up, superbills, logins, and IDX set up.
• Audits current procedures to monitor and improve efficiency of data entry, billing and front end operations.
• Ensures activities are compliant with Federal, State, and payer regulations.
• Participates in developing and implementing operating policies and procedures.
• Reviews and interprets operational data to assess need for procedural revisions and enhancements; designs systems to improve revenue and efficiency.
• Analyzes trends impacting charges, coding, collection and accounts receivable and adjusts staff/policies accordingly.
• Keeps up to date with carrier rule changes and disseminates information within the practice.
• Maintains knowledge of HIPAA and health regulations.
• Supervises MSO staff, including training, performance evaluation and actions.
• Coordinates training for billing staff on policies, systems and procedures.
• Coordinates team member time off without disrupting daily functions.
• Performs other misc. duties as assigned.

Skills

Organizational skills

Time management

Medical billing knowledge

Coding knowledge CPT ICD-10

Insurance terminology

Regulatory compliance

Communication skills

EMR proficiency

Microsoft Office

Teamwork

Education

High school diploma or equivalent

Job description

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

JOB RESPONSIBILITIES

Oversees the operations of the billing department, charge entry, and edits.

Serves as the practice expert and go-to person for all MSO processes.

Works with CPMP and plans and directs patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection.

Analyze and audit billing and claims for accuracy and completeness.

Work with CPMP on claim submission, payment posting, A/R follow up and reimbursement management.

Works as a liaison for CPMP MSO.

Handle all pre go-live and post go-live operations with office staff, including, but not limited to training set-up, Cerner and SPM set up, superbills, logins, and IDX set up.

Audits current procedures to monitor and improve efficiency of data entry, billing and front end operations.

Ensures that the activities of the MSO operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines and requirements.

Participates in the development and implementation of operating policies and procedures.

Reviews and interprets operational data to assess need for procedural revision and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.

Analyzes trends impacting charges, coding, collection and accounts receivable and takes appropriate action to realign staff and revise policies and procedures.

Keep up to date with carrier rule changes and distribute the information within the practice.

Understands and remains updated with current coding and billing regulations and compliance requirements.

Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.

Supervises MSO office professional personnel, which includes work allocation, training and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.

Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards and techniques.

Coordinates team member time off in a manner that does not negatively impact necessary daily functions.

Performs other miscellaneous job-related duties as assigned.

ABILITIES

Ability to work under minimum supervision and demonstrate strong initiative.

Ability to supervise and train employees, to include organizing, prioritizing and scheduling work assignments to meet practice timelines.

Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.

Ability to make independent decisions when circumstances warrant; make prompt and accurate judgements regarding AR, billing and other office duties.

Ability recognize, evaluate, solve problems and correct errors, and to develop processes that eliminate redundancy.

Ability to conceptualize work flow, develop plans, and implement appropriate actions.

Ability to communicate effectively in writing, over the telephone, and in person.

Category Business Support

Exempt/Non-Exempt Non-Exempt

Location SB Administrative Services, LLC

Full-Time/Part-Time Full-Time

Position Requirements

Qualifications

• High school diploma or equivalent
• Minimum of 5 years of experience in medical billing and collections.
• Excellent organizational and time management skills.
• Strong understanding of medical coding (CPT, ICD-10) and billing fertility procedures.
• Strong understanding of medical insurance terminology and procedures.
• Knowledge of insurance regulations and reimbursement methodologies
• Effective Communication and Listening Skills
• Working knowledge of Electronic Medical Records and other Software
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Ability to display compassion towards patients and coworkers
• Strong problem resolution skills
• Ability to work independently and as part of a team.
• Flexible Schedule

Shift Days

• Benefits
• Life insurance
• PTO
• 401K
• Student loan reimbursement

After 3 month probation; hybrid position.

Salary Range $65,000-$72,000 annually

Position Billing Supervisor

Open Date 9/24/2026

This position is currently accepting applications.