Talent.com
STONEBRIDGE INDEPENDENT COUNELING CENTER
Reimbursement SupervisorSTONEBRIDGE INDEPENDENT COUNELING CENTER • McKinney, TX, US
Reimbursement Supervisor

Reimbursement Supervisor

STONEBRIDGE INDEPENDENT COUNELING CENTER • McKinney, TX, US
30+ days ago
Salary
$21.00 hourly
Job type
  • Full-time
Job description
Benefits:
  • Competitive salary
  • Flexible schedule
  • Paid time off
  • Training & development


Job Title: Reimbursement Manager
Department: Revenue Cycle / Billing
Reports To: CEO
Job Type: Full-Time
Location: McKinney, TX


Position Summary:


The Reimbursement Manager is responsible for leading and supervising all aspects of the reimbursement and medical billing process. This role oversees a team of specialists to ensure accurate claim submissions, payment collections, compliance with payer and regulatory requirements, and timely resolution of billing issues. The Reimbursement Manager also plays a key role in training, workflow optimization, and payer communication to ensure the financial health of the organization.


Key Responsibilities:


  • Supervise daily operations of the reimbursement team including claim submission, billing edits, denials, and collections.
  • Ensure timely and accurate submission of claims (electronic and paper) with appropriate documentation (e.g., DIFs, DWOs, LOAs).
  • Monitor and improve reimbursement processes and metrics such as days in A/R, denial rates, and collection effectiveness.
  • Review and ensure proper use of billing codes (HCPCS, CPT, ICD-10), NDC units, J-codes, and Place of Service.
  • Resolve escalated issues related to front-end denials, payer rejections, and complex reimbursement discrepancies.
  • Oversee setup and maintenance of payers in the billing system.
  • Maintain up-to-date knowledge of Medicare, Medicaid, commercial payer guidelines, and specialty pharmacy/home infusion billing requirements.
  • Coordinate billing and follow-up for third-party payers, co-pay assistance programs, foundations, and manufacturer support programs.
  • Oversee documentation for refunds to payers or patients and coordinate payment information with cash posting staff.
  • Audit delivery tickets and ensure eligibility for financial assistance programs.
  • Review and approve patient hardship waivers; maintain tracking and documentation.
  • Compile and analyze reimbursement reports for leadership and make recommendations for improvement.
  • Train and support staff on billing procedures, system updates, and payer changes.
  • Ensure compliance with all federal, state, and local billing regulations.
Qualifications:


Required:


  • Bachelor’s degree in Healthcare Administration, Finance, or related field; or equivalent experience/certification (Medical Billing Certificate acceptable).
  • 5+ years of medical billing or reimbursement experience, preferably in home infusion or specialty pharmacy.
  • Strong understanding of coding (CPT, HCPCS, ICD-10), insurance claim submission, and billing workflows.
  • Knowledge of federal/state billing guidelines, including Medicare and commercial payer requirements.
  • Experience with electronic claim transmissions, clearinghouses, and denial management.
  • Proficiency in Microsoft Excel, Word, Outlook.
  • Strong math skills, including unit conversions (e.g., grams to milligrams).
  • Excellent communication, problem-solving, and organizational skills.
Preferred:


  • Knowledge of home infusion, specialty infusion, and pharmacy billing practices.
  • Experience with reimbursement support programs and co-pay assistance.
  • Familiarity with HCFA 1500 claim requirements.
  • Prior supervisory or leadership experience in a billing/reimbursement setting.
Working Conditions:


  • Must be able to work flexible hours as needed based on business demands.

Create a job alert for this search

Reimbursement Supervisor • McKinney, TX, US

Similar jobs

Claims Supervisor II - General Liability

Philadelphia Insurance CompaniesPlano, TX, United States
Full-time

Claims Supervisor II - General Liability.Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents... Show more

 • Promoted

LVN - FT

BrightSpring Health ServicesAnna, TX, US
Full-time

Pate Rehabilitation is seeking a motivated, compassionate Licensed Vocational Nurse (LVN) to join our team.This is a great opportunity to build upon your existing skillset while providing exception... Show more

 • Promoted

RN Supervisor - Emergency Room

Medical City DallasProsper, TX, United States
Full-time

Registered Nurse Supervisor ( Clinical Nurse Coordinator ) .Stroke response times nearly half of the national average.Cutting-edge SPOT Technology that detects sepsis earlier than the human eye.An ... Show more

 • Promoted

Supervisor RN - Medical Surgical ICU

Medical City PlanoPlano, TX, US
Full-time +1

Medical City Plano is committed to investing in the latest technology enabling nurses to work more efficiently.Are you passionate about delivering patient-centered care?.Submit your application for... Show more

 • Promoted

Department Supervisor

Home Depot (Retail)Sherman, TX, United States
Full-time

Department Supervisor | Home Depot.Department Supervisors lead, train, coach and develop associates in each department to ensure customers receive excellent service and can easily find the merchand... Show more

 • Promoted

Operations Supervisor- Commercial Insurance (Remote)

Insurance Office of AmericaGarland, TX, US
Full-time

Title: Operations Supervisor – Commercial Lines.Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mil... Show more

Insurance Reviewer-Clinical (Remote)

Texas OncologyRichardson, TX, United States
Remote
Full-time

OverviewThe US Oncology Network is looking for an Clinical Insurance Reviewer to join our team at Texas Oncology.This full-time hybrid position will support the Revene Cycle Department at our 3001 ... Show more

 • Promoted

Billing Supervisor

TradeJobsWorkForce75275 Dallas, TX, US
Full-time

Billing Supervisor Job Duties: Accomplishes billing human resource objectives by selecting, ori... Show more

 • Promoted

Revenue Cycle Specialist-Remote

Conifer Revenue Cycle SolutionsFrisco, TX, United States
Remote
Full-time

JOB SUMMARYResponsible for managing patient account staff in processing accounts and working with designated payers to ensure proper reimbursement.Ownership of assigned Payer AR and all activities ... Show more

 • Promoted

Customer Retention Supervisor (Remote)

Globe Life Family of CompaniesMc Kinney, TX, United States
Remote
Full-time +1

At Globe Life, we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career.Our thriving and dynamic community offers ample ro... Show more

 • Promoted

Operating Room RN Float Pool

North Texas Float PoolProsper, TX, US
Full-time

Candidates in Float Pool will travel to Calloway, Ft Worth, Denton, Alliance, Southlake and Trinity Park areas.Are you passionate about the patient experience? At HCA Healthcare, we are committed t... Show more

 • Promoted • New!

In Home Healthcare LVN- Adult Patient- Low Acuity (Weekends)

Aveanna HealthcareCelina, TX, United States
Full-time +1

Join a Company That Puts People First!.Licensed Practical / Vocational Nurse – LPN/LVN.Saturday & Sunay (7am-7pm)     .Feeding tube & Med Administration (Training Available).We are one of the large... Show more

 • Promoted

Rehab Nursing Tech (Pool)

Encompass HealthProsper, TX, United States
Full-time +1

Nursing Assistant Career Opportunity (RNT) Elevate Your Nursing Assistant Role at Encompass Health Are you in search of a fulfilling career rooted in your community and heart? At Encompass Health, ... Show more

 • Promoted

Remote Insurance Authorization Lead - Oncology

US Oncology Inc.Richardson, TX, United States
Remote
Full-time

A leading oncology network in Texas is seeking an Insurance Authorization Specialist - Team Lead.This full-time remote role involves managing insurance authorizations for chemotherapy and collabora... Show more

 • Promoted

SUPERVISOR - ER ADMISSIONS (FULL TIME)

Universal Health Services, Inc.Denison, TX, US
Full-time

Texoma Medical Center, a 414-bed acute care facility has been providing quality health care to the residents of North Texas and Southern Oklahoma since 1965.Our main campus is located in Denison, T... Show more

 • Promoted

Patient Account Supervisor- Remote

Conifer Revenue Cycle SolutionsFrisco, TX, United States
Remote
Full-time

JOB SUMMARYThe Supervisor is responsible for the supervision and leadership of the Patient Account Representatives, both on-site and telecommuters.Directly responsible for the interviewing, hiring,... Show more

 • Promoted

RN Shift Supervisor PCU

Medical City PlanoPlano, TX, US
Full-time +1

Medical City Plano is committed to investing in the latest technology enabling nurses to work more efficiently.Are you passionate about delivering patient-centered care?.Submit your application for... Show more

 • Promoted

Remote Hospice Reimbursement Specialist Billing & Claims

Addus HomeCare, Inc.Frisco, TX, United States
Remote
Full-time

A healthcare services company is seeking a Reimbursement Specialist to manage billing and revenue cycle processes.The ideal candidate will have healthcare collections experience, strong understandi... Show more

 • Promoted

Customer Service Rep (08781) 81750 N Hwy 289, Ste 101

Domino's PizzaPottsboro, TX, United States
Full-time

The following description applies to all hourly store Team Members.If you have any questions or wish to review more detailed information, please contact the store manager.Stock ingredients from del... Show more

 • Promoted

Patient Account Supervisor- Remote

Tenet HealthFrisco, TX, United States
Remote
Full-time

The Supervisor is responsible for the supervision and leadership of the Patient Account Representatives, both on-site and telecommuters.Directly responsible for the interviewing, hiring, training, ... Show more