Medical Billing Supervisor

CITY OF EL PASO, TX
El Paso, Texas United States  View Map
Posted: Dec 25, 2025
  • Salary: $53,028.35 - $81,557.60 Annually USD
  • Full Time
  • Accounting and Finance
  • Administrative Analysis and Research
  • Clerical and Administrative Support
  • Public Health
  • Job Description

    Requirements

    MOS: None

    Education and Experience : A High School Diploma or GED or higher, and five (5) years of medical billing experience including two (2) years in a lead or supervisory capacity.

    Licenses and Certificates : Certified Healthcare Financial Professional within one (1) year of appointment. Texas Class "C" Driver's License or equivalent from another state.

    General Purpose

    Under general supervision, supervise medical billing staff and maintain grant program billing accounts.

    Typical Duties

    Administer and supervise medical billing functions. Involves: Supervise insurance, Medicare and Medicaid follow-up, collections and financial screening of unfunded patients. Responds to billing inquires, posting of payments, rejections and other related activities. Function as the fiscal intermediary contact for Medicare and Medicaid programs to include EMS-Fire. Handle enrollment and revalidation for Medicare and Medicaid provider enrollment for clinics and physicians enrolled in Medicaid. Review work product and processes and coordinate information for reporting purposes. Credential health care providers with third party payers such as Medicare, Medicaid, Blue Cross Blue Shield, Superior, and El Paso First. Function as the system administrator for Medicaid (TMHP) to provide access rights for eligibility checking, billing and remittance import. Update each site for TMHP access every 60 days and maintain access security for TMHP. Research system or processing issues and oversee implementation of solutions. Participate in the revision and implementation of new policies and procedures related to medical billing. Assist in the development and implementation of process and policy changes.

    Assist with issues related to area of responsibility. Involves: Provide any additional training requirements of employees and assess the need for additional training. Receive and process insurance and patient payments. Process insurance claim forms and follow-up with third party payer sources; Re-bill insurance companies, Medicare and Medicaid to secure payment. Perform monthly bank reconciliation & track overage/shortage and create journal entries for the same. Perform monthly credit card reconciliation for posting revenue to clinic credit card users. Track Texas Comptroller grant & ACH payments for department and create journal entries for posting to general ledger. Follow up with insurance companies on claims when payment is not received within designated timeframes. Track daily bank & credit card transactions; implement paperless deposit documentation by having staff scan deposits & backup to shared server available to anyone. Conduct monthly clinic audits for Title V & Medicaid compliance. Coordinate eligibility requirements with program managers. Serve as system administrator for internal control software programs (ABS). Track and develop information to be utilized in the Department's costing models. Assist in development of budget process for annual City budget. Track & compile the quarterly grants data for reporting to Texas Department of Health Services (DSHS). Assist in petty cash and deposit/cash custodian functions. Compose appropriate correspondence to agencies and program managers. Review official medical records with provider documentation and assign appropriate codes for all provider services from current editions of official coding sources. Responsible for Department's compliance with Medicare and Medicaid guidelines. Serves as HIPPA officer. Function as safety officer for fiscal services program and serve on safety team as a co-captain on drills & evacuation. Represent Department on Paso del Norte Health Information Exchange and serve on the Privacy & Security Committee. Serve on State of Texas committees for implementing electronic immunization and laboratory reporting. Perform related duties as required.

    Supervise assigned personnel. Involves: Schedule, assign, instruct, guide and check work. Appraise employee performance. Provide for training and development. Enforce personnel rules and regulations and work behavior standards firmly and impartially. Counsel, motivate and maintain harmony. Interview applicants. Provide direction and oversee airport personnel after normal work hours.

    General Information

    For complete job specification, click here.

    Note: This is an unclassified contract position. Employment is predicated on continuation of state/federal funding.

    Note: Applicants are encouraged to apply immediately. This position will close when a preset number of applications have been received.

    Please Note: Applicants with foreign diplomas, transcripts, and degrees must have all documents translated and evaluated by an agency of the National Association of Credential Evaluation Services (NACES) prior to submitting them to the Human Resources Department. Please visit www.naces.org/members for more information.

    A résumé and/or other documents will not be accepted in lieu of a completed application. Comments such as “See résumé” are not acceptable and will result in the application being considered incomplete.

    To qualify for this position, required education, experience, knowledge and skills must be clearly stated on your application’s employment history. We do not use any information on your resume to review if you meet the minimum qualifications for this position.

    Failure to fully detail all experience and job duties in the application, or copying/pasting directly from the job specification, or responses referring to your résumé will eliminate you from consideration for the position.

    Determined by agreement

    Closing Date/Time: 12/30/2025 11:59 PM Mountain
  • ABOUT THE COMPANY

    • City of El Paso
    • City of El Paso

    THE CITY OF EL PASO HAS IMPLEMENTED PROGRAMS TO INVEST IN ITS WORKFORCE, INCLUDING:

    • Competitive wages
    • Pension Plans
    • Medical, Dental and Vision Coverage
    • Health Savings Account
    • Paid Time Off­ and Paid Parental Leave
    • Quality Training and Tuition Assistance Programs

    Mission:

    Deliver exceptional services to support a high quality of life and place for our community.

    Vision:

    Develop a vibrant regional economy, safe and beautiful neighborhoods and exceptional recreational, cultural and educational opportunities powered by a high performing government.

    Values:

    Integrity, Respect, Excellence, Accountability, People

    THE COMMUNITY

    Located at the westernmost edge of Texas along the Rio Grande River, El Paso has long been recognized as one of the nation’s safest cities with a population of over 800,000. This thriving community is aptly referred to as the “Sun City” – a moniker derived from the 300+ days of sunshine experienced annually.
    El Paso, the largest Texas City on the U.S./Mexico border and the sixth largest city in Texas, is a dynamic and vibrant community whose location on the border provides the City with a culturally diverse population and a rich heritage that embraces the past while building for the future.

    El Paso is filled with many attractions that residents and visitors enjoy alike. For sports enthusiasts, the City is home to The El Paso Chihuahuas, the Minor League baseball team and Triple-A affiliate of the San Diego Padres. El Paso is also home to Sun Bowl Stadium at UTEP where many events occur, including Division I college football games and other events, including the nationally televised Sun Bowl game held each year. UTEP is also the home of the legendary Don Haskins Center where Division I college basketball games are played. Residents and visitors may also take in an El Paso Locomotive FC soccer game or an El Paso Rhinos hockey game. Located in El Paso are amusement parks, water parks, state parks, museums, the El Paso Zoo and Botanical Gardens, and the El Paso Symphony Orchestra. At the heart of the City is the Franklin Mountains State Park, the largest urban state park in Texas.

    Fort Bliss is the largest installation in the United States Army Forces Command and the second largest military installation in the Army overall with the largest being the adjacent White Sands Missile Range.  Fort Bliss is an anchor of the local economy and its economic stability, as it is the single largest employer in the area supporting over 167,000 people with an annual economic contribution of over $25 billion. The City of El Paso strives to be the #1 City in America for Veterans to live. The City of El Paso has been recognized by the Texas Veterans Commission for its high Veteran Employment rate. The City government currently employs approximately 14% of veterans and has a Military and Veterans Affairs department.

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