Senior Government Payer Billing Lead

Washington Hospital; Fremont (CA); On-site; USD 92,000 - 133,000; Full time

Job summary

Jobvite, Inc. seeks a Hospital Government Billing Supervisor to lead government payer submissions in the hospital Revenue Cycle. The role ensures accurate, compliant claims to Medicare, Medicaid, TRICARE, VA, and other programs, while guiding a team of billing professionals.

The Supervisor serves as a subject matter expert on payer regulations, reimbursement methodologies, and compliance requirements, driving continuous process improvement and performance outcomes.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field.
• Familiarity with RAC, MAC, UPIC, and OIG audit processes is preferred.
• Strong knowledge of UB-04 and CMS-1500 billing form requirements.

Responsibilities

• Direct and monitor government payer billing operations within Revenue Cycle.
• Lead denial management to improve net government reimbursements.
• Ensure timely submission and compliance with Medicare/Medicaid rules.
• Set and track KPIs for AR days, denial rates, and filing timeliness.
• Provide leadership to billing staff and drive process improvement.
• Report results and actionable insights to senior leadership.

Skills

Medicare billing

Medicaid billing

Denial management

Payer portals & rules

Data analysis

Education

Bachelor's degree

Tools

Epic

Meditech

Gerner

Job description

Jobvite, Inc. seeks a Hospital Government Billing Supervisor to lead government payer submissions in the hospital Revenue Cycle. The role ensures accurate, compliant claims to Medicare, Medicaid, TRICARE, VA, and other programs, while guiding a team of billing professionals.

The Supervisor serves as a subject matter expert on payer regulations, reimbursement methodologies, and compliance requirements, driving continuous process improvement and performance outcomes.