Job Description

Posting number: 202610790

Department: COMMUNITY SERVICES

Division: Administrative Services

Job classification: Principal Fiscal Analyst /C43

Posting type: Open

Categories: Community Services, Community and Social Services

Prince William County Community Services (CS) is seeking an experienced, collaborative, and results-driven Fee Billing Supervisor to lead our Behavioral Healthcare Reimbursement team. We are a large, community-based behavioral health organization dedicated to providing high-quality services while ensuring accurate, timely, and compliant reimbursement for the care we provide.

This leadership position supervises eight (8) reimbursement professionals and is responsible for overseeing the insurance accounts receivable process and the daily import of electronic payments into the agency's Electronic Health Record (EHR) for all Outpatient and Community Mental Health Rehabilitative services. The Fee Billing Supervisor plays a critical role in ensuring the integrity of the revenue cycle, maximizing reimbursement, maintaining regulatory compliance, and supporting the financial health of the organization.

About the Role

The Fee Billing Supervisor provides day-to-day leadership and oversight of the behavioral health revenue cycle, ensuring efficient billing operations, timely collections, and compliance with all federal, state, Medicaid, Medicare, Managed Care Organization (MCO), commercial insurance, and payer requirements.

Key responsibilities include:

• Supervise, mentor, train, and evaluate a team of eight reimbursement professionals through regular supervision, coaching, performance management, and annual evaluations.
• Plan, prioritize, and assign staff work to ensure timely, accurate billing, reimbursement, and account collection activities.
• Oversee all billing operations, including medical coding, charge entry, claims submission, payment posting, accounts receivable management, denial resolution, and reimbursement activities.
• Manage the daily import and reconciliation of electronic payments into the EHR, ensuring accurate posting and client account updates.
• Monitor clearinghouse activity and insurance payer portals to identify claim issues, payment variances, and reimbursement opportunities.
• Review electronic payment distribution, claims submissions, and reimbursement activities to ensure accuracy, completeness, and timeliness.
• Analyze billing transactions, claims, and payment activity to ensure accurate coding, complete documentation, and timely reimbursement.
• Review unworked claim edits, claim rejections, and denied claims; identify trends, determine root causes, and implement corrective actions to improve reimbursement outcomes.
• Monitor billing matrix errors, denial trends, and unpaid services while collaborating with staff and program leadership to resolve recurring issues.
• Oversee aged accounts receivable to ensure timely follow-up, timely collection efforts, and reduction of outstanding balances.
• Oversee the Medicaid authorization process to ensure authorizations are requested, tracked, and submitted within required timeframes.
• Prepare, analyze, and present accounts receivable, aging, clearinghouse, debt collection, reimbursement, and other financial reports in collaboration with the Revenue Business Services Administrator.
• Compile and analyze statistical and financial data required for agency leadership, federal and state reporting, and payer compliance.
• Complete monthly financial reconciliations between the EHR and the County financial system.
• Audit daily deposits and reimbursement transactions to ensure financial accuracy and accountability.
• Prepare monthly financial and operational reports for agency leadership.
• Participate in recurring meetings with Virginia Medicaid, Managed Care Organizations (MCOs), commercial insurance representatives, and other payers to address contract performance, billing compliance, reimbursement issues, and claims denials.
• Evaluate revenue cycle processes for effectiveness and efficiency, recommending and implementing process improvements that enhance billing accuracy, strengthen internal controls, improve staff productivity, and maximize reimbursement.
• Stay current on changes to Medicaid, Medicare, commercial insurance, and other payer regulations, ensuring agency compliance with evolving billing requirements.
• Provide guidance and technical assistance to reimbursement staff, program managers, clinicians, and administrative personnel regarding billing requirements, documentation standards, coding, reimbursement policies, and regulatory compliance.
• Ensure agency compliance with all applicable federal, state, local government, Medicaid, Medicare, and payer billing regulations, policies, and contractual requirements.
• Perform other duties as assigned.

The Successful Candidate Will Have

The ideal candidate is an experienced healthcare revenue cycle leader with strong knowledge of behavioral healthcare billing, Medicaid reimbursement, insurance claims management, and regulatory compliance. They possess exceptional analytical, organizational, and leadership skills and can build collaborative relationships with clinical staff, fiscal leadership, and external payer representatives.

If you are a collaborative leader passionate about improving revenue cycle performance, supporting staff development, and ensuring compliance in a behavioral healthcare environment, we encourage you to apply to join the Prince William County Community Services team.

Minimum Requirements:

• High school diploma or G.E.D.

• 6 years of related experience in behavioral healthcare billing and revenue cycle experience.

Preferences:

• Experience supervising medical billing, accounts receivable, or healthcare reimbursement staff.
• Knowledge of behavioral healthcare billing, medical coding, revenue cycle management, and insurance reimbursement processes.
• Experience working with Virginia Medicaid (DMAS), Managed Care Organizations (MCOs), Medicare, and commercial insurance billing requirements.
• Strong understanding of federal and state healthcare reimbursement regulations and compliance standards.
• Excellent analytical, problem-solving, organizational, and communication skills.
• Proficiency with Electronic Health Records (EHRs), clearinghouses, insurance portals, Microsoft Office applications, and financial reporting tools.
• The ability to manage multiple priorities while maintaining exceptional attention to detail and delivering outstanding customer service to both internal and external stakeholders.

Special Requirements (if applicable):

• Must possess a valid driver’s license.

• Must pass DMV record check.

• Must pass TB test.

• Offer of employment is contingent upon the candidate passing a fingerprint-based national criminal history record check.

Child Protective Services Requirements: effective 1999, mandated by the Virginia Department of Behavioral Health and Developmental Services (DBHDS) in accordance with 12VA35-105-400 rules and regulations for DBHDS Licensed Providers and related to the Criminal Registry Checks, a search of the registry of founded complaints of child abuse and neglect will be conducted by the Virginia Department of Social Services.

Work Schedule: The work hours will be Monday through Friday, 8:30 AM – 5:00 PM, with a 1-hour lunch. The position will work at 14011 Worth Avenue, Woodbridge, Virginia, with at least one day at the Manassas, Virginia CS location.

Hiring Salary Range: $76,069.50 - $104,676.00 Annually

We also offer great benefits, including:

• Retirement from the Virginia Retirement System (VRS)
• 401a and 457 retirement savings and investment plans
• Paid Annual Leave
• Paid Personal Leave
• Paid Sick Leave
• Paid Holidays
• Optional Group Medical and Dental Health Plans
• Optional Group Life Insurance
• An Employee Assistance Program (EAP)
• Career Development Opportunities

Full-time positions with Prince William County Government qualify for Public Service Loan Forgiveness. Click here for PSLF for additional information.

NOTE: The above position description is intended to represent only the key areas of responsibility; specific position assignments will vary depending on the department's business needs. To view the class description in its entirety, click here

Prince William County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.

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