Neurosurgery Billing Operations Lead

Brown University Health; Providence (RI); On-site; USD 53,000 - 88,000; Full time

Job summary

Brown University Health in Providence, RI, seeks a Supervisor Billing, Neurosurgery to oversee daily operations of the professional billing function, supervise billing staff, and lead claims management, reimbursement optimization, denial prevention, and revenue cycle performance.

The role requires deep CPT/HCPCS/ICD-10 knowledge, compliance with payer rules, collaboration with providers and payer relations, and leadership to improve efficiency and minimize revenue leakage.

Qualifications

• Minimum five years of progressively responsible medical billing, physician practice billing, or revenue cycle experience.
• Two years of lead, coordinator, or supervisory experience preferred.
• Experience with neurosurgery, surgical specialty, or procedural specialty billing strongly preferred.
• Demonstrated experience in claims management, denial resolution, coding review, payer follow-up, surgical authorization, and reimbursement analysis.
• Advanced knowledge of physician practice billing and revenue cycle operations.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding systems and reimbursement methodologies.
• Understanding of Medicare, Medicaid, commercial payer, and managed care billing requirements.
• Knowledge of medical terminology and surgical procedure billing practices.
• Ability to interpret payer reimbursement policies and regulatory guidelines.
• Strong analytical, problem‑solving, prioritization, and decision‑making skills.
• Effective leadership, employee development, communication, and conflict‑resolution skills.
• Proficiency with electronic medical record systems, practice management systems, billing software, and Microsoft Office applications.

Responsibilities

• Oversees the daily operations of the Neurosurgery professional billing function.
• Ensures timely and accurate claim review, submission, payment reconciliation, and account follow-up.
• Monitors accounts receivable and denial work queues to ensure appropriate and timely resolution.
• Reviews and verifies patient account information against insurance plan requirements, reimbursement policies, and billing regulations.
• Researches and investigates complex claims, high-dollar accounts, underpayments, denials, and reimbursement issues.
• Coordinates billing activities across multiple providers, locations, and payer types to ensure consistency and compliance.

Skills

Billing leadership

Revenue cycle optimization

CPT/HCPCS/ICD-10 knowledge

EMR/billing software proficiency

Microsoft Office

Education

Associate degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field

Tools

EMR systems

Practice management systems

Billing software

Microsoft Office

Job description

Brown University Health in Providence, RI, seeks a Supervisor Billing, Neurosurgery to oversee daily operations of the professional billing function, supervise billing staff, and lead claims management, reimbursement optimization, denial prevention, and revenue cycle performance.

The role requires deep CPT/HCPCS/ICD-10 knowledge, compliance with payer rules, collaboration with providers and payer relations, and leadership to improve efficiency and minimize revenue leakage.