Medical Billing Supervisor | Lead Claims & Compliance

AAPC; Watsonville (CA); On-site; USD 52,000 - 62,000; Full time

Job summary

Sleep Health MD in Watsonville, CA is seeking a detail-oriented Medical Billing Supervisor to lead daily billing operations across Santa Cruz, Monterey, and Santa Clara County. Strong background in medical billing and coding required; Spanish-speaking preferred.

The role emphasizes cross-department collaboration, overseeing third-party billing teams, processing appeals, deposits, and ensuring timely reimbursements, with training provided on SHMD guidelines and DME billing.

Qualifications

• Completion of an associate degree or online program in medical billing and coding OR at least 5 years prior experience in general medical billing knowledge.
• Computer and internet literate with proficiency in Office 365, Outlook, and Office Suite.
• Intermediate level internet navigation skills, including the ability to manage multiple tabs and windows simultaneously.
• Strong keyboarding and typing skills.
• Professional verbal and written communication skills.
• Ability to prioritize tasks in an organized manner.
• Knowledge of multiple insurance plan guidelines (PPO, HMO, EPO, POS, etc.) related to SHMD services. Training will be provided.
• Proficiency in filing appeals and following up on claims.
• Knowledge of Durable Medical Equipment (DME) billing is preferred. Training will be provided.
• Experience with Athena (EMR) is preferred.
• Maintain a professional, positive attitude when interacting with patients and co-workers.
• Spanish speaking preferred.

Responsibilities

• Supervise and oversee daily medical billing operations ensuring accuracy and compliance.
• Work collaboratively with 3rd party billing/offshore team and respond to questions/inquiries.
• Prioritize and organize billing tasks efficiently to meet deadlines.
• File appeals and follow up on claims to ensure timely reimbursement.
• Prepare deposits for incoming patient payments, insurance companies, non-patient payments.
• Maintain professional and positive communication with patients, especially in difficult situations, and collaborate effectively with co-workers.
• Work closely with all departments to provide input related to billing processes and impacts.
• Stay informed and compliant with multiple insurance plan guidelines (PPO, HMO, EPO, POS, etc.) related to SHMD services. Training will be provided.
• Assist with Durable Medical Equipment (DME) billing processes. Training will be provided.
• Access multiple insurance portals and third-party platforms.

Skills

Attention to detail

Communication skills

Time management

Spanish speaking

Prioritization

Education

Associate degree in medical billing & coding

Tools

Office 365

Outlook

Athena EMR

Job description

Sleep Health MD in Watsonville, CA is seeking a detail-oriented Medical Billing Supervisor to lead daily billing operations across Santa Cruz, Monterey, and Santa Clara County. Strong background in medical billing and coding required; Spanish-speaking preferred.

The role emphasizes cross-department collaboration, overseeing third-party billing teams, processing appeals, deposits, and ensuring timely reimbursements, with training provided on SHMD guidelines and DME billing.