About IKS Health:

Founded in 2006 IKS Health enables providers to provide better safe and more efficient care at scale. With over 12000 employees including over 1500 physicians and technologists IKS Health provides solutions for over 150000 providers across some of the largest and most prestigious healthcare provider groups in the country. Through our Provider Enablement Platform IKS Health provides a strategic blend of technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving providers the tools and resources they need to focus on what matters most the patient. We offer clinical financial and administrative healthcare solutions for improved operational efficiency better patient outcomes optimized productivity and revenue.

Job Summary

We are seeking a Supervisor Billing to lead a team responsible for charge entry claim scrubbing and electronic/paper claim submission across Medicare Medicaid commercial and Workers Comp payers.

A critical aspect of this role is managing billing rejections and front-end editsensuring claims are clean before submission addressing payer-specific edits and driving first-pass acceptance rates. The Supervisor will oversee daily operations compliance with payer billing rules and continuous improvement initiatives to reduce rejections delays and downstream denials.

Key Responsibilities

Team Leadership & Oversight

Supervise billing representatives managing charge capture claim creation and submission processes.

Monitor attendance productivity and quality to meet SLAs.

Provide regular coaching mentoring and performance evaluations to drive team efficiency.

Billing Rejections & Edits Management

Oversee resolution of front-end billing rejections and clearinghouse edits

Ensure compliance with Medicare Medicaid and commercial payer billing guidelines.

Monitor recurring issues such as invalid codes COB errors subscriber mismatches and missing authorizations implementing corrective action plans.

Partner with coding AR and client teams to resolve systemic causes of rejections and improve clean claim rates.

Performance & Process Optimization

Track and analyze KPIs such as first-pass acceptance rate billing turnaround time and rejection rates.

Collaborate with Quality Training and Process Excellence teams to update workflows and training material.

Ensure accurate and timely reporting on billing outcomes and productivity.

Compliance & Escalation Management

Stay updated on CMS regulations payer billing updates and state Medicaid requirements to keep processes compliant.

Address and resolve escalated billing concerns from clients or internal stakeholders.

Maintain audit readiness with thorough documentation and adherence to compliance standards.

Skills and Abilities:

Strong understanding of front-end billing workflows claim edits and clearinghouse operations.

In-depth knowledge of payer billing rules especially Medicare Medicaid and Workers Comp.

Familiarity with CPT HCPCS ICD-10 coding and how coding errors impact billing acceptance.

Excellent problem-solving and analytical skills to identify and fix systemic issues.

Strong communication skills to work across coding AR and client leadership teams.

Ability to lead both onsite and remote teams effectively.

Education:

High School Diploma required (Bachelors degree preferred).

Qualifications:

5 years of supervisory/management experience in healthcare billing.

Demonstrated expertise in handling billing rejections clearinghouse edits and payer-specific billing rules.

Proficiency in billing systems (Epic preferred) and clearinghouse platforms.

Experience with Medicare/Medicaid portals and Workers Comp billing processes.

Proficiency in MS Office Google Suite and workflow/case management tools.

Proven success in improving billing performance metrics such as clean claim rate and rejection turnaround.

Compensation and Benefits:The base salary for this position is $60000 a year. Pay is based on several factors including but not limited to current market conditions location education work experience certifications etc. IKS Health offers a competitive benefits package including healthcare 401 (k) and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race national origin gender gender identity sexual orientation protected veteran status disability age or other legally protected status.

Required Experience:

Manager