Claim Processing/Billing Supervisor

Job Summary
The Claim Processing/Billing Supervisor is a critical leadership role within the Revenue Cycle Management (RCM) department, responsible for overseeing the daily operations of the claims processing team. This position ensures that insurance claims are submitted accurately and promptly, while strictly adhering to payer guidelines and regulatory standards. The supervisor provides direction and support to the team, resolves claim-related issues, and drives continuous performance improvements to align with organizational objectives.

Key Responsibilities
The supervisor manages and coordinates the daily activities of the claims processing team to maintain high accuracy and consistent performance. They ensure the timely submission of both electronic and paper insurance claims, complying with specific payer requirements and healthcare regulations. Monitoring claim rejections and pending claims is a key part of the role, with the supervisor leading corrective actions to resolve issues efficiently.

Providing ongoing training, coaching, and constructive feedback to claim processors is essential to uphold quality standards. The supervisor tracks and analyzes productivity metrics such as daily claims processed, quality scores, and turnaround times to evaluate team performance. Collaboration with eligibility and authorization teams is necessary to address complex billing challenges and optimize workflow processes.

The role also involves identifying and implementing process improvements to enhance operational efficiency and reduce errors or rework. Conducting regular internal audits ensures compliance with organizational policies, payer rules, and healthcare regulations. The supervisor prepares and presents detailed operational reports on claim volumes and resolution trends to management. Effective communication with clients is vital to manage escalations, provide timely updates, and address concerns related to claim processing timelines.

Required Qualifications
Candidates must have proven experience in medical billing and claims processing within healthcare or insurance settings. Strong leadership skills are essential to supervise and motivate a team effectively. A deep understanding of insurance payer guidelines, billing regulations, and healthcare compliance standards is required. The ability to analyze and resolve claim denials and discrepancies through excellent problem-solving skills is critical.

Proficiency in tracking performance metrics and generating operational reports is necessary. Additionally, effective communication skills are required for both client interactions and team collaboration.

Preferred Qualifications and Benefits
Experience in Revenue Cycle Management or a similar healthcare administrative function is highly desirable. Familiarity with electronic claims submission systems and billing software will be advantageous. The organization offers opportunities for professional development and training to support career growth.

This is a full-time, in-person position, allowing for direct engagement with the team and hands-on operational oversight. The role offers a competitive salary ranging from Rs10.00 to Rs20.00 per month.

Reporting directly to the RCM Operations Manager, this position is vital to maintaining the integrity and efficiency of the claims processing function. Candidates with strong leadership abilities and comprehensive billing knowledge will excel in this role.