Murrieta Valley Surgical Associates is seeking an experienced Billing Supervisor with strong Revenue Cycle Management (RCM) knowledge to oversee the daily operations and performance of our medical billing department. This is a hands-on leadership position requiring a thorough understanding of the complete physician practice revenue cycle. The ideal candidate will have experience supervising a billing team, managing accounts receivable, resolving complex denials and reimbursement issues, analyzing billing performance, and identifying opportunities to improve revenue cycle processes. We are looking for someone who can not only supervise daily billing operations but also recognize revenue cycle problems, determine the root cause, and implement corrective action. Key Responsibilities Supervise, train, and provide daily direction to the medical billing team. Oversee the complete revenue cycle, including eligibility, authorizations, charge entry, claim submission, payment posting, denial management, appeals, A/R follow-up, and patient balances. Monitor staff productivity, accuracy, outstanding assignments, and overall departmental performance. Review A/R aging regularly and ensure outstanding accounts are worked timely and appropriately. Identify trends contributing to aging A/R, delayed reimbursement, claim rejections, denials, and underpayments. Monitor payer and clearinghouse rejections and ensure timely correction and resubmission. Analyze denial trends and implement corrective processes to reduce recurring and preventable denials. Assist staff with complex claims, appeals, reimbursement issues, payer disputes, and billing questions. Monitor timely filing deadlines and ensure claims and appeals are submitted within payer requirements. Review payment posting, EOBs, ERAs, EFTs, contractual adjustments, and write-offs for accuracy. Identify potential payer underpayments and reimbursement discrepancies and ensure appropriate follow-up. Maintain working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, bundling, and payer-specific billing requirements. Maintain knowledge of Medicare, Medi-Cal/Medicaid, commercial insurance, managed care, HMO, and PPO billing requirements. Monitor key revenue cycle performance indicators, including A/R aging, days in A/R, denial trends, claim rejection rates, collections, and staff productivity. Prepare A/R, denial, reimbursement, and departmental performance reports for administration. Establish clear performance expectations and hold staff accountable for accuracy, productivity, and timely completion of assigned work. Provide coaching, education, and corrective guidance when performance deficiencies or knowledge gaps are identified. Develop, maintain, and improve billing workflows, policies, procedures, and internal controls. Collaborate with scheduling, front office, authorization, clinical, credentialing, and administrative teams to resolve revenue cycle issues. Escalate significant payer, reimbursement, compliance, or operational concerns to administration. Maintain compliance with HIPAA and applicable federal, state, payer, and organizational requirements. Required Qualifications Minimum 5 years of medical billing and Revenue Cycle Management experience . Strong knowledge of the complete physician practice revenue cycle. Demonstrated experience with accounts receivable management, denial resolution, appeals, and payer follow-up . Experience reviewing and analyzing A/R aging and identifying causes of delayed or lost reimbursement. Experience with commercial insurance, Medicare, Medi-Cal/Medicaid, managed care, HMO, and PPO billing. Working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, EOBs, ERAs, EFTs, contractual adjustments, and payer reimbursement. Ability to research and resolve complex billing, claim, and reimbursement issues. Strong analytical and problem-solving skills. Strong organizational and time-management skills with the ability to prioritize multiple responsibilities. Effective written and verbal communication skills. Proficiency with medical practice management systems, clearinghouses, Microsoft Excel, and revenue cycle reporting. Supervisory Experience A minimum of 2 years of supervisory, lead, or management experience within medical billing or Revenue Cycle Management is strongly preferred . Candidates should have demonstrated experience providing staff oversight, monitoring productivity, training employees, managing workloads, addressing performance concerns, and maintaining accountability within a billing department. Preferred Experience Specialty physician or surgical practice billing experience. General surgery and/or vascular surgery billing experience. Experience supervising a multi-provider medical billing department. NextGen practice management experience. Waystar or comparable clearinghouse experience. Experience with payer contracts and reimbursement methodologies. Experience identifying and pursuing payer underpayments. Experience developing revenue cycle reports and monitoring departmental KPIs. Experience implementing process improvements based on A/R and denial trends. Preferred Certifications One or more of the following certifications is preferred but not required : CPB - Certified Professional Biller (AAPC) CRCR - Certified Revenue Cycle Representative (HFMA) Other recognized medical billing, coding, or Revenue Cycle Management certification Equivalent demonstrated Revenue Cycle Management experience will be considered in place of certification. What We Are Looking For The successful candidate will be a hands-on Revenue Cycle Management leader , not solely an administrative supervisor. We are looking for someone who understands how each stage of the revenue cycle affects reimbursement and can recognize when something is not working correctly. This individual should be able to investigate the issue, identify the root cause, develop a solution, and educate the billing team to prevent recurrence. The Billing Supervisor should be comfortable reviewing reports and working directly within the billing and clearinghouse systems when necessary. The position requires someone who can balance staff support with accountability and maintain clear expectations for accuracy, productivity, and timely follow-up. The ideal candidate is dependable, organized, analytical, detail-oriented, and proactive, with the ability to communicate effectively with staff, providers, administration, patients, and insurance payers.

Job Type:

Full-time Work Location:

In person

Experience Medical Billing/Revenue Cycle Management:

5 years required

Medical Billing/RCM Supervisory or Lead Experience:

2 years preferred

Specialty/Surgical Physician Billing:

Preferred Certification CPB, CRCR, CPC, or comparable billing/RCM certification: Preferred, not required

Job Type:

Full-time Pay:

$25.00 - $28.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person