Registration & Revenue Operations Supervisor

Alamance County Government; North Carolina; On-site; USD 65,000 - 90,000; Full time

Job summary

Alamance County Government is seeking a Registration & Revenue Operations Supervisor to maximize health department revenue by leading billing and coding within 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.

The position supervises administrative staff, coordinates with insurance providers, and partners with the clinical management team on data

Qualifications

• High school diploma or equivalent required.
• Two years of administrative, clerical, or customer service experience.
• Valid driver’s license with driving record meeting county standards.
• Preferred: associate degree and two years in medical billing/coding or revenue cycle.
• Preferred: certification in medical billing/coding.
• Experience with Epic EMR and data tools (Access/Excel/SQL).

Responsibilities

• Supervise administrative and customer-facing staff.
• Ensure compliance with billing and coding procedures.
• Perform audits and coding reviews for accuracy and documentation.
• Communicate with insurance companies to resolve issues.
• Submit data for analysis by clinical management.
• Manage provider credentialing through CAQH and NCTracks.

Skills

Customer focus

Billing experience

Public administration knowledge

Analytical skills

Communication skills

Education

Associate degree in health information management or related field

Certification in medical billing/coding

Tools

Epic EMR

Microsoft Access

Excel

SQL

Job description

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.

• High school diploma or equivalent required
• Two years of administrative, clerical, or customer service experience
• Valid driver’s license with a driving record that meets county standards for operating county-owned vehicles

PREFERRED QUALIFICATIONS:

• Associate degree in health information management, business/public administration, healthcare administration, or a related field, plus two years of experience in medical billing, coding, or revenue cycle operations.
• Experience supervising or leading staff, or an equivalent combination of education and experience.
• Certification in medical billing/coding.
• Experience with electronic medical records systems (especially Epic).
• Proficiency with reporting or data-manipulation tools such as Microsoft Access, Excel, or SQL.

NECESSARY SPECIAL QUALIFICATIONS:

Valid driver’s license with a driving record that meets county standards for operating county-owned vehicles.

• Customer focused
• Significant knowledge of medical office billing, coding, and reimbursement practices.
• Strong knowledge of modern office procedures, practices, and equipment.
• Basic knowledge of public administration and business administration principles.
• Basic knowledge of human resources policies and practices.
• Basic knowledge of accounting principles and methods.
• Familiar with revenue cycle management.
• Technical skills and the ability to analyze business operations and financial reporting.
• Ability to exercise sound judgment and discretion in interpreting and applying policies and procedures.
• Ability to plan, assign, and review the work of others.
• Ability to understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with coworkers, officials, and the public.
• Ability to communicate clearly and concisely, both verbally and in writing, with individuals at all levels of the organization.

• Ability to work effectively under time constraints and competing demands.

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)

Physical Demands

• 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

Lift/Carry

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

Push/Pull

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

Other Physical Requirements

Vision (Near, Distance, Peripheral)