Billing Supervisor

Peyton Resource Group; San Antonio (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

Peyton Resource Group seeks an experienced Insurance & Patient Accounts Receivable Supervisor to oversee daily medical billing, insurance follow-up, and AR operations within a healthcare environment. This role supervises a team, monitors productivity and quality, and resolves escalated claims issues.

The ideal candidate has a strong background in medical claims, healthcare AR, and leadership, with the ability to improve workflows and support efficient revenue cycle operations.

Qualifications

• Minimum 5 years of experience in medical claims processing, billing, or healthcare revenue cycle operations.
• At least 1 year of supervisory, management, or team lead experience.
• Experience with healthcare Accounts Receivable and insurance follow-up.
• Strong understanding of Medicare guidelines, insurance claims regulations, and payer requirements.
• Experience with Electronic Medical Record (EMR) systems.
• Intermediate to advanced Microsoft Excel skills.
• Strong analytical, organizational, and problem-solving abilities.
• Excellent communication, leadership, and interpersonal skills.
• Ability to manage multiple priorities and meet productivity deadlines.
• Strong attention to detail and confidentiality.

Responsibilities

• Supervise daily operations of the Insurance and Patient Accounts Receivable team.
• Assign workloads, monitor productivity, and ensure departmental performance goals are met.
• Oversee insurance follow-up, outstanding claims, denials, and accounts receivable processes.
• Prepare, review, and distribute AR reports to monitor collections and team performance.
• Conduct quality assurance audits to ensure accuracy and compliance with standards.
• Provide coaching, training, and performance evaluations for team members.
• Ensure compliance with Medicare guidelines and healthcare regulations.
• Assist with payer fee schedule updates, reviews, and audits.
• Resolve escalated billing, claims, and insurance-related issues promptly.
• Support daily AR functions and assist with insurance account follow-up when needed.
• Develop and improve departmental policies, procedures, and workflows.
• Collaborate with internal departments to resolve billing discrepancies and improve revenue cycle performance.

Skills

Healthcare revenue cycle

Leadership

Analytical skills

Communication

Problem solving

Education

Advanced degree preferred

Tools

EMR systems

Microsoft Excel

Microsoft Office

Job description

Position Overview

We are seeking an experienced Insurance & Patient Accounts Receivable (AR) Supervisor to oversee daily medical billing, insurance follow-up, and accounts receivable operations within a healthcare environment. This individual will be responsible for supervising an assigned team, monitoring productivity and quality standards, reviewing AR reports, resolving escalated claims issues, and ensuring compliance with Medicare guidelines and healthcare regulations. The ideal candidate will have a strong background in medical claims, healthcare accounts receivable, and team leadership, with the ability to improve workflows and support efficient revenue cycle operations.

Key Responsibilities

• Supervise daily operations of the Insurance and Patient Accounts Receivable team.
• Assign workloads, monitor productivity, and ensure departmental performance goals are met.
• Oversee insurance follow-up, outstanding claims, denials, and accounts receivable processes.
• Prepare, review, and distribute AR reports to monitor collections, outstanding balances, and team performance.
• Conduct quality assurance audits to ensure accuracy and compliance with departmental standards.
• Provide coaching, training, and performance evaluations for assigned team members.
• Ensure compliance with Medicare guidelines, payer requirements, and healthcare regulations.
• Assist with payer fee schedule updates, reviews, and audits.
• Resolve escalated billing, claims, and insurance-related issues in a timely manner.
• Support daily AR functions and assist with insurance account follow-up when additional coverage is needed.
• Develop and improve departmental policies, procedures, and workflows to increase efficiency.
• Collaborate with internal departments to resolve billing discrepancies and improve revenue cycle performance.

Qualifications & Requirements

• Minimum 5 years of experience in medical claims processing, billing, or healthcare revenue cycle operations.
• At least 1 year of supervisory, management, or team lead experience.
• Previous experience with healthcare Accounts Receivable and insurance follow-up.
• Strong understanding of Medicare guidelines, insurance claims regulations, and payer requirements.
• Experience working with Electronic Medical Record (EMR) systems.
• Intermediate to advanced Microsoft Excel skills and proficiency with Microsoft Office.
• Strong analytical, organizational, and problem-solving abilities.
• Excellent communication, leadership, and interpersonal skills.
• Ability to manage multiple priorities and meet productivity deadlines.
• Strong attention to detail and commitment to accuracy and confidentiality.
• Education Advanced degree preferred. In lieu of a degree, a minimum of 5 years of relevant experience will be considered.

Preferred Qualifications

• Previous supervisory experience within a medical clinic, physician group, or healthcare revenue cycle department.
• Experience managing insurance denials, AR aging, payer follow-up, and claims resolution.
• Familiarity with payer contracts, fee schedules, and reimbursement processes.
• Experience conducting quality audits and implementing process improvements.

Work Environment

Primarily office-based position.

Standard Monday–Friday business hours, with additional hours as needed.

Occasional travel to medical office locations may be required.