BILLING OPERATIONS SUPERVISOR - 40000955

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DEPARTMENT:

PUBLIC HEALTH:

DATE POSTED:

JANUARY 21, 2026:

CLOSING DATE:

FEBRUARY 11, 2026:

SALARY RANGE:

$52,730.00 - $89,577.00:

POSITION NUMBER:

40000955:

JOB TYPE:

FULL-TIME (37.5 HOURS, NONEXEMPT):

GENERAL DESCRIPTION:

This position oversees the daily operations of the billing unit. This position provides guidance and knowledge in the areas of medical and dental billing supervising the billing unit, serving as a subject matter expert for the health department on billing systems and payer requirements to ensure optimal reimbursement while maintaining compliance.

This position works under general supervision and exercises independent judgment in developing methods and approaches to service delivery.

DUTIES AND RESPONSIBILITIES:

The essential functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.

• Oversee, manage and direct the daily operations of the Billing Unit.
• Ensure that billing deadlines are met, and productivity standards are maintained.
• Evaluates staff training needs; coordinates ongoing education and onboarding for new staff.
• Develops and reviews annual performance goals for direct reports and completes performance appraisals annually.
• Review and approve staff time entries, leave requests, and 30-day time sheets.
• Conduct regular team meetings to share updates, address workflow concerns, and support collaboration.

Address personnel issues in accordance with departmental policies, including initiating corrective actions or disciplinary steps when necessary.

• Perform daily revenue payment posting and reconciliation from all payment sources (Medicaid, Medicare, insurance, self-pay, etc.).
• Analyze Medicaid remittance advice and process receivables, including identification and processing of necessary refunds.
• Monitor and manage accounts assigned to work queues in EPIC or other billing platforms.

Use portals such as Availity Clearinghouse to verify and research remittance and payment status.

• Ensure proper application of billing and coding guidelines across programs and services.
• Analyze team workflows to identify and address inefficiencies or gaps that impact cash flow and claims performance.
• Recommend and implement process improvements to maximize reimbursement and minimize denials and rework.
• Track and report on key performance indicators (KPIs) including denial rates, days in accounts receivable, clean claim rate, and others.
• Collaborate with revenue cycle staff, program supervisors and managers, and registration supervisor to ensure billing protocols align with clinical and administrative workflows.

Serves as the departmental billing subject matter expert.

• Ensure compliance with all applicable local, state, and federal regulations including HIPAA, NCDHHS Coding and Billing Guidance, NCPH Administrative and Clinical Coverage Policies, NC Administrative Codes, NC Immunization Program Coverage, Family Planning Title X, Durham County and agency approved policies.

Act as liaison between the billing unit and clinic and registration supervisors, program managers, EMR vendors, insurance payers, and state consultants.

• Collaborate with the finance unit and program leadership during budget planning, fee setting, and operational reviews.

Address and resolve interdepartmental issues that impact billing.

• Assist with internal/external audits and prepare supporting documentation as required.
• Prepare and analyze billing and claims reports for performance monitoring and quality improvement.

May perform additional tasks assigned to support departmental operations.

• Performs related work as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES:

Working knowledge of medical billing principles, payer reimbursement methodologies (including Medicaid, Medicare, and commercial insurance), and healthcare revenue cycle practices. General understanding of bookkeeping and accounting principles as they apply to billing, payment posting, accounts receivable, and reconciliation.

Familiarity with government budgeting and public health financial procedures, including reporting, auditing, and fee setting. The ability to independently plan, organize, assign, and review the work of billing staff, ensuring accuracy and productivity. Strong leadership skills with the ability to coach, mentor, and evaluate staff while addressing performance or disciplinary issues when necessary.

Excellent interpersonal skills and the ability to maintain effective working relationships with clinical teams, administrative staff, the public, and representatives from external agencies. Clear and professional oral and written communication skills; able to present information effectively to staff and leadership.

Strong analytical skills with the ability to interpret billing regulations, identify and resolve issues, and apply relevant laws and payer policies. Highly organized with the ability to prioritize tasks, manage competing deadlines, and adapt to changing programmatic or regulatory needs. Proactive, flexible, and open to continuous learning and adopting new approaches to improve efficiency and meet departmental goals.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:

Associate’s degree in health administration, public health, business, accounting, or related field. Equivalent work experience may be considered. Three (3) years of progressively responsible experience in healthcare billing and revenue cycle management, including one (1) year of supervisory experience.

PREFERRED QUALIFICATIONS:

Experience using billing systems such as EPIC, Patagonia Health, or CureMD.:

Familiarity with NC Tracks, Availity, and other payer portals. Certified Professional Biller (CPB), Certified Professional Coder (CPC), and/or Certified Revenue Cycle Professional (CRCP).

PHYSICAL DEMANDS:

Physical demands refer to the requirements for physical exertion and coordination of limb and body movement.

• Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

UNAVOIDABLE HAZARDS (WORK ENVIRONMENT):

Unavoidable hazards refer to the job conditions that may lead to injury or health hazards even though precautions have been taken.

None

STANDARD CLAUSES:

May be required to work nights, weekends, holidays and emergencies (man-made or natural) to meet the business needs of Durham County. This job description is not designed to cover or contain a comprehensive listing of essential functions and responsibilities that are required of an employee for this job. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice.

ESSENTIAL SAFETY FUNCTIONS:

It is the responsibility of each employee to comply with established policies, procedures and safe work practices. Each employee must follow safety training and instructions provided by their supervisor. Each employee must also properly wear and maintain all personal protective equipment required for their job. Finally, each employee must immediately report any unsafe work practices or unsafe conditions as well as any on-the-job injury or illnesses.

Every manager/supervisor is responsible for enforcing all safety rules and regulations. In addition, they are responsible for ensuring that a safe work environment is maintained, safe work practices are followed and employees are properly trained.

To further the mission of the Durham County Department of Public Health (DCoDPH) to partner with our community to advance health equity, protect the environment, and promote health and wellness for all, DCoDPH is implementing the employee vaccination and tuberculosis screening policies. All DCoDPH employees are considered healthcare personnel (HCP) working in a health care setting with the potential for exposure to patients and/or infectious materials and, therefore, are required to comply and provide documented proof of the following:

Measles, Mumps & Rubella (MMR) vaccination/immunity Varicella-Zoster Virus (Chicken Pox) vaccination/immunity Tdap (Tetanus, Diphtheria, Pertussis) Tuberculosis (TB) baseline screening within the last twelve (12) months prior to employment Hepatitis B vaccination/immunity – only required for DCoDPH employees with potential Bloodborne Pathogen (BBP) exposures.

Identified DCoDPH HCP with potential Bloodborne Pathogen (BBP) exposure have an additional requirement for the Hepatitis B vaccination. Required vaccination, serological testing to determine immunity, and baseline tuberculosis screening are available for all Public Health employees who elect to become DCoDPH patients upon request and at no cost.

Proof of vaccination and tuberculosis screening must be provided to Human Resources within seven (7) business days prior to the date of employment.

AMERICANS WITH DISABILITIES ACT COMPLIANCE:

Durham County is an Equal Opportunity Employer. ADA requires Durham County to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

BACKGROUND CHECK STATEMENT:

This position may be subject to a background check, which could include, but is not limited to, criminal history (employment-related and/or SBI fingerprint-based), credit history, motor vehicle records, educational verification, and checks of the sexual offender registry, depending on the specific requirements of the role. A conviction record does not automatically disqualify an applicant from employment consideration, unless otherwise required by applicable state law.