SUMMARY:

Under the general direction of the Director of Business Operations, the Supervisor Billing, Neurosurgery oversees the daily operations of the professional billing function for the Neurosurgery practice. This position supervises billing staff and provides operational leadership for claims management, reimbursement optimization, denial prevention and resolution, coding review, payer relations, and revenue cycle performance.

The Supervisor serves as a subject matter expert in physician billing, reimbursement methodologies, CPT, HCPCS, and ICD-10 coding standards and ensures compliance with payer regulations, organizational policies, and applicable governmental requirements. The incumbent collaborates with providers, practice leadership, Patient Financial Services, and third-party payers to maximize revenue capture and support efficient billing operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another.

Billing Operations Management

Oversees the daily operations of the Neurosurgery professional billing function.

Ensures timely and accurate claim review, submission, payment reconciliation, and account follow-up.

Monitors accounts receivable and denial work queues to ensure appropriate and timely resolution.

Reviews and verifies patient account information against insurance plan requirements, reimbursement policies, and billing regulations.

Researches and investigates complex claims, high-dollar accounts, underpayments, denials, and reimbursement issues.

Coordinates billing activities across multiple providers, locations, and payer types to ensure consistency and compliance.

Revenue Cycle Oversight

Monitors billing performance indicators, including claim submission timeliness, denial rates, aging accounts receivable, collection performance, and reimbursement trends.

Identifies root causes of claim denials and payment delays and implements corrective actions to improve revenue cycle outcomes.

Collaborates with Patient Financial Services and Revenue Cycle leadership to resolve escalated reimbursement issues.

Assists with developing and implementing billing policies, procedures, and workflow improvements designed to increase efficiency and reduce revenue leakage.

Participates in revenue cycle initiatives and operational improvement projects.

Coding and Compliance

Provides oversight and guidance regarding CPT, HCPCS, and ICD-10 coding and reimbursement practices.

Reviews billing edits, coding-related denials, and documentation issues to support compliance with regulatory and payer requirements.

Collaborates with providers and clinical staff to resolve coding, documentation, charge capture, and surgical authorization questions.

Maintains current knowledge of coding updates, payer policies, reimbursement methodologies, and industry practices.

Ensures billing operations comply with applicable federal, state, payer, and organizational requirements.

Patient and Payer Relations

Serves as an escalation point for complex patient account and billing inquiries.

Communicates with commercial and governmental payers regarding claim disposition, reimbursement concerns, and billing disputes.

Works collaboratively with payer representatives to resolve outstanding claims and reimbursement issues.

Promotes a high level of customer service and responsiveness in patient, provider, and payer interactions.

Staff Supervision

Provides direct supervision of Senior Billing Specialists and other assigned billing staff.

Assigns, prioritizes, and monitors workload to ensure departmental goals, quality standards, and performance expectations are achieved.

Participates in recruitment, onboarding, orientation, scheduling, and training activities.

Provides ongoing coaching, feedback, mentoring, and development opportunities.

Fosters a positive, collaborative, and accountable work environment.

Reporting and Analysis

Reviews and analyzes billing, reimbursement, denial, accounts receivable, and productivity reports.

Prepares operational reports and presents findings and recommendations to leadership.

Uses data to identify trends, process improvement opportunities, and operational or compliance risks.

Supports budgetary and operational planning activities as requested.

Maintains the confidentiality of patient, employee, and organizational information.

Participates in departmental meetings, committees, and special projects.

Performs other related duties as assigned

EDUCATION:

Associate degree in Healthcare Administration, Business Administration, Accounting, Finance, or a related field preferred. An equivalent combination of education and relevant experience may be considered.

EXPERIENCE:

Minimum of five years of progressively responsible medical billing, physician practice billing, or revenue cycle experience.

Minimum of two years of lead, coordinator, or supervisory experience preferred.

Experience with neurosurgery, surgical specialty, or procedural specialty billing strongly preferred.

Demonstrated experience in claims management, denial resolution, coding review, payer follow-up, surgical authorization, and reimbursement analysis.

Advanced knowledge of physician practice billing and revenue cycle operations.

Strong knowledge of CPT, HCPCS, and ICD-10 coding systems and reimbursement methodologies.

Understanding of Medicare, Medicaid, commercial payer, and managed care billing requirements.

Knowledge of medical terminology and surgical procedure billing practices.

Ability to interpret payer reimbursement policies and regulatory guidelines.

Strong analytical, problem-solving, prioritization, and decision-making skills.

Effective leadership, employee development, communication, and conflict-resolution skills.

Proficiency with electronic medical record systems, practice management systems, billing software, and Microsoft Office applications.

SUPERVISORY RESPONSIBILITY:

Directly supervises Senior Billing Specialists and other billing personnel assigned to the Neurosurgery practice.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Daily Hours: 

Driving Required: