WoundCentrics

Billing Operations Specialist

WoundCentrics  •  Lubbock, TX (Onsite)  •  7 days ago
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Job Description

Job Location: MD Billing Specialist - LUBBOCK, TX 79424Education
Level: 2 Year DegreeJob

Summary
We are seeking an experienced and organized Billing Operations Supervisor to oversee daily billing operations, staff coordination, insurance portal management, and cross-departmental workflow support. This role is responsible for supervising billing and managed care staff, resolving escalated payer and patient issues, coordinating operational processes, and ensuring efficient revenue cycle performance.
Key Responsibilities
Operations & Staff Management
- Manage employee attendance, call-ins, PTO requests, staffing coverage, and overtime tracking.
- Supervise daily operations of billing and managed care teams to ensure productivity and workflow efficiency.
- Coordinate staffing adjustments during absences or high-volume periods.
Billing & Revenue Cycle Support
- Assist billers with eligibility issues, claim denials, appeals, payer disputes, and complex account resolutions.
- Review aging reports, denial trends, reimbursements, and write-off activity to identify improvement opportunities.
- Collaborate with credentialing and authorization teams to minimize reimbursement delays and write-offs.
Insurance Portal & System Administration
- Manage insurance portal access for billing, payment posting, managed care, and clinic staff.
- Oversee onboarding/offboarding system access and compliance processes.
- Work with credentialing teams and eClinicalWorks support to resolve payer and portal issues.
Mail & Communication Coordination
- Review and distribute incoming mail, faxes, and operational documents to appropriate departments.
- Coordinate ERA/EFT enrollment efforts related to paper claims and checks.
- Handle escalated patient calls, billing concerns, voicemail follow-up, and payment inquiries.
Cross Department Collaboration
- Participate in weekly meetings with credentialing, billing, payment posting, and authorization teams to resolve operational and reimbursement issues.

Qualifications

Qualifications
- 5+ years of medical billing or revenue cycle management experience.
- Previous supervisory or leadership experience required.
- Knowledge of insurance claims, denials, appeals, payer portals, ERA/EFT, and credentialing workflows.
- Experience with eClinicalWorks or similar EMR systems preferred.
- Bachelor’s degree in healthcare administration, Business, or related field is a plus.
- Strong communication, organizational, and problem-solving skills.
WoundCentrics

About WoundCentrics

WoundCentrics is a management services organization providing holistic, advanced inpatient and outpatient wound care education, research and patient care services to people in a variety of healthcare settings across the continuum of care.

Industry
Healthcare & Social Services
Company Size
51-200 employees
Headquarters
New Braunfels, Texas
Year Founded
Unknown
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