Registration/Revenue Operations Manager

Alamance County Government; Burlington (NC); On-site; USD 52,000 - 76,000; Full time

Job summary

Alamance County Government in North Carolina is hiring a Registration & Revenue Operations Supervisor to lead billing and coding within the personal health clinics. You will supervise administrative staff and ensure compliant, timely revenue operations while supporting staff and optimizing workflows to strengthen the department’s financial performance.

You will manage credentialing through CAQH, serve as NCTracks Office Administrator, perform audits, communicate with insurers, and contribute to

Qualifications

• Associate degree in medical billing/coding and 3+ years of related experience.
• Or high school diploma with 5+ years of medical billing and coding experience.
• Valid driver’s license required.

Responsibilities

• Supervises Administrative Assistant I, three Customer Relations Representatives IV, and a processing assistant IV (Vital Records).
• Ensures compliance with billing and coding requirements.
• Performs audits and coding reviews for accuracy and documentation.
• Communicates with insurance companies to resolve billing and claims issues.
• Submits data for analysis by the clinical management team.
• Manages provider credentialing through CAQH and serves as the NCTracks Office Administrator.
• Recommends write-offs, fee adjustments, policy updates, and tech purchases.
• Oversees Medicaid cost settlement reporting.
• Ensures technology needs are met (hardware, software, phones, printing).
• Collaborates on budgeting and revenue cycle management for clinics.
• Participates in local public health emergency response as needed.

Skills

Billing & coding

Supervisory experience

Attention to detail

Staff management

Education

Associate degree in Medical Office Billing and Coding

High school diploma or equivalent with 5 years of medical billing experience

Tools

CAQH

NCTracks

Epic EMR

Job description

Job Purpose

The registration & revenue operations supervisor is responsible for maximizing revenue for the health department by leading and overseeing billing and coding functions within the personal health clinics. This role ensures accurate, timely, and compliant revenue operations while supporting staff and optimizing workflows that strengthen the department’s financial performance.

• Supervises administrative and customer-facing staff, including Administrative Assistant I, three Customer Relations Representatives IV, and a processing assistant IV (Vital Records).
• Ensures compliance with all legal requirements and standards related to billing and coding procedures.
• Performs audits and coding reviews to verify accuracy, completeness, and proper documentation.
• Communicates with insurance companies to resolve billing and claims issues.
• Submits statistical and operational data for analysis by the clinical management team.
• Manages provider credentialing through CAQH and serves as the NCTracks Office Administrator.
• Recommends write-offs, fee adjustments, policy updates, and technology-related purchases.
• Oversees reporting functions, including the Medicaid cost settlement charge report.
• Ensures technology needs are met, including support for computer hardware, software, telephones, and printing systems.
• Collaborates with the director of nursing and assistant director of operations to review and project personal health clinic revenues for budgeting purposes and revenue cycle management.
• Participates in local public health emergency response activities, as assigned by the health director or designee, and is available during emergencies and exercises as needed.

Job Purpose

The registration & revenue operations supervisor is responsible for maximizing revenue for the health department by leading and overseeing billing and coding functions within the personal health clinics. This role ensures accurate, timely, and compliant revenue operations while supporting staff and optimizing workflows that strengthen the department’s financial performance.

• Supervises administrative and customer-facing staff, including Administrative Assistant I, three Customer Relations Representatives IV, and a processing assistant IV (Vital Records).
• Ensures compliance with all legal requirements and standards related to billing and coding procedures.
• Performs audits and coding reviews to verify accuracy, completeness, and proper documentation.
• Communicates with insurance companies to resolve billing and claims issues.
• Submits statistical and operational data for analysis by the clinical management team.
• Manages provider credentialing through CAQH and serves as the NCTracks Office Administrator.
• Recommends write-offs, fee adjustments, policy updates, and technology-related purchases.
• Oversees reporting functions, including the Medicaid cost settlement charge report.
• Ensures technology needs are met, including support for computer hardware, software, telephones, and printing systems.
• Collaborates with the director of nursing and assistant director of operations to review and project personal health clinic revenues for budgeting purposes and revenue cycle management.
• Participates in local public health emergency response activities, as assigned by the health director or designee, and is available during emergencies and exercises as needed.

Responsibilities

• Supervises administrative and customer-facing staff, including Administrative Assistant I, three Customer Relations Representatives IV, and a processing assistant IV (Vital Records).
• Ensures compliance with all legal requirements and standards related to billing and coding procedures.
• Performs audits and coding reviews to verify accuracy, completeness, and proper documentation.
• Communicates with insurance companies to resolve billing and claims issues.
• Submits statistical and operational data for analysis by the clinical management team.
• Manages provider credentialing through CAQH and serves as the NCTracks Office Administrator.
• Recommends write-offs, fee adjustments, policy updates, and technology-related purchases.
• Oversees reporting functions, including the Medicaid cost settlement charge report.
• Ensures technology needs are met, including support for computer hardware, software, telephones, and printing systems.
• Collaborates with the director of nursing and assistant director of operations to review and project personal health clinic revenues for budgeting purposes and revenue cycle management.
• Participates in local public health emergency response activities, as assigned by the health director or designee, and is available during emergencies and exercises as needed.

Qualifications

• Associate degree in Medical Office Billing and Coding, Medical Office Administration, or an associate degree in another field that includes at least 12 semester hours of medical billing and coding coursework, and at least three years of medical office billing and coding experience;
• OR high school diploma or equivalent with at least five years of medical office billing and coding experience;
• OR an equivalent combination of education and experience;
• Valid driver’s license required.

PREFERRED QUALIFICATIONS:

• Local Health Department billing and coding experience;
• Experience with billing Medicaid and third-party insurers;
• Supervisory experience
• Experience with electronic medical records systems (especially Epic).
• Certified Professional Coder (CPC) credential from AAPC

COMPETENCY STATEMENTS:

• Accountability - Ability to accept responsibility and account for his/her actions. Ability to organize and manage time and resources.
• Accuracy - Ability to perform work accurately and thoroughly. Considerable knowledge of general office management techniques and basic calculations.
• Communication, Oral - Ability to communicate effectively with others using the spoken word. Knowledge of general human behavior and techniques for effecting problem solving, answering questions and providing quality customer service.
• Communication, Written - Ability to write clear and concise documentation and correspondence.
• Compassion - Ability to show kindness, empathy and genuine care. Ability to understand an individual's socio-economic status and life-styles with respect for individual differences.
• Honesty - Ability to be truthful, maintain high level of confidentiality and viewed as credible in the workplace.
• Integrity – Trustworthiness to a degree that one is incapable of being false to a trust, responsibility or pledge. Ability to monitor and maintain quality standards of client services using current WIC and health department protocols.
• Judgment – Ability to use good judgment and discretion as it relates to following policies and procedures. Knowledge of interrelationships between health and social service programs, and of appropriate community resources for referral of clients.
• Safety-Minded – Ability to create a safe work environment; managing risks; reducing exposure liabilities.
• Teamwork – Ability to work with others successfully and productively for the common cause and desired end goal with skill in supervising and organizing the work of others.

Physical Demands

N (Not Applicable) Activity is not applicable to this position.

O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs/day)

• Stand F
• Walk O
• Sit F
• Manually Manipulate F
• Reach Outward F
• Reach Above Shoulder O
• Climb O
• Crawl O
• Squat or Kneel O
• Bend O

• 10 lbs or less O
• 11-20 lbs. O
• 21-50 lbs. O
• 51-100 lbs. O
• Over 100 lbs. N

• 12 lbs or less F
• 13-25 lbs. O
• 26-40 lbs. O
• 41-100 lbs. O

Other Physical Requirements:

Vision (Near, Distance, Peripheral)

Health Insurance

Full-time employees are eligible for medical/health (Cigna Insurance) benefits upon the 1st of the month following 30 days of employment.

Alamance County Government currently offers three plans of medical/pharmacy benefit options including 2 Standard PPO plans and a High-Deductible Health Plan with HSA.

Dental Benefit

Alamance County offers one dental insurance (Delta Dental) plan for FT employees at no cost. The plan, if elected, would be effective the first of the month following 30 days of FT employment.

Vision Insurance

A voluntary vision program (Superior Vision) is available to FT employees. The current PPO style plan allows employees to seek treatment and hardware from any vision care provider of their choice. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event.

Voluntary Benefits:

Alamance County Government provides a variety of voluntary health related benefits (Voya) to allow employees to purchase protection from what life may bring. A sampling of voluntary benefits includes Flexible Spending Accounts with dependent care opportunities, Health Saving Account with an employer contribution, Short Term Disability, Long Term Disability, Cancer Protection Plan, Group Critical Care Insurance and more.

Life Insurance

Basic term life insurance is the amount of one times the annual salary (no greater than $70,000) is provided for all FT employees. Additional coverage is available for purchase through payroll deductions for employee and eligible dependents.

Retirement Benefits

Membership in the NC Local Government Employees Retirement System (NCLGERS) is a requirement for all full-time and regular part-time employees (working more than 1,000 hours annually). Employees contribute six percent (6%) of their annual compensation before it is taxed.

Time Off Accruals

Vacation Time

Annual Leave is accrued based on years of service. Employees can accrue from 10-25 days per year.

Sick Time

All County full time employees earn 12 days of sick leave per year.

County Observed Holidays

Alamance County will observe the State of North Carolina Holiday Schedule.

Wellness Benefits & Programming

Employee Assistance Program

There are times when everyone needs a little help or advice. The confidential Employee Assistance Program (EAP) through a local provider can help you with things like stress, anxiety, depression, chemical dependency, relationship issues, legal issues, parenting questions, financial counseling and dependent care resources. Best of all it's free for County employees and available for your household to utilize. Utilization of the EAP is completely confidential and participation isn't recorded.

Help is available 24/7/365 by telephone.

Alamance County Employee Health Center

Available to employees and spouses who are covered under the Alamance County Insurance Plan and their covered dependents, 18 years of age and older. Retired employees under age 65 are also eligible to use the health center. Depending on insurance coverage elected, care at the clinic ranges from free to a fair market value cost.

Services Available

• Treatment of injuries or illnesses such as flu, sinus Infection, pink eye, sprains, strains or fever.
• Monitor chronic conditions (Diabetes, Hypertension, Hyperlipidemia, Health Disease, Asthma, etc...)
• Assistance with finding a Primary Care Provider
• Health Education and Counseling
• Triage and referrals to specialists when appropriate.

Alamance County provides a variety of additional benefits including bereavement pay, Paid Parental Leave, Wellness Leave to focus on work-life balance initiatives, Volunteer Time Off (paid time) opportunities to be a part of the Alamance Community, to opportunities for professional certification pay.

Employee Fitness Center

Alamance County encourages all employees to maintain a healthy lifestyle both at home and at work. In support of this philosophy an Employee Fitness Center is available for all County employees to use at their convenience during non-work hours and is open 6:00 AM to 9:00 PM Monday-Sunday. This center includes weight training equipment, cardio equipment, a small aerobics room along with restrooms, changing room and lockers.