Registration & Revenue Operations Supervisor

Registration & Revenue Operations Supervisor

Salary

$54,514.92 Annually

Location

Health & Human Services, NC

Job Type

Full-time

Job Number

00046

Department

Health Department

Opening Date

09/22/2026

Closing Date

10/6/2026 11:59 PM Eastern

• Description
• Benefits
• Questions

Job Purpose

The registration & revenue operations supervisor is responsible for maximizing revenue for the health department by leading and overseeing billing and coding functions within the personal health clinics. This role ensures accurate, timely, and compliant revenue operations while supporting staff and optimizing workflows that strengthen the department's financial performance.

Responsibilities

• Supervises administrative and customer-facing staff, including Administrative Assistant I, three Customer Relations Representatives IV, and a processing assistant IV (Vital Records).
• Ensures compliance with all legal requirements and standards related to billing and coding procedures.
• Performs audits and coding reviews to verify accuracy, completeness, and proper documentation.
• Communicates with insurance companies to resolve billing and claims issues.
• Submits statistical and operational data for analysis by the clinical management team.
• Manages provider credentialing through CAQH and serves as the NCTracks Office Administrator.
• Recommends write-offs, fee adjustments, policy updates, and technology-related purchases.
• Oversees reporting functions, including the Medicaid cost settlement charge report.
• Ensures technology needs are met, including support for computer hardware, software, telephones, and printing systems.
• Collaborates with the director of nursing and assistant director of operations to review and project personal health clinic revenues for budgeting purposes and revenue cycle management.
• Participates in local public health emergency response activities, as assigned by the health director or designee, and is available during emergencies and exercises as needed.

Qualifications

• High school diploma or equivalent required
• Two years of administrative, clerical, or customer service experience
• Valid driver's license with a driving record that meets county standards for operating county-owned vehicles

PREFERRED QUALIFICATIONS:

• Associate degree in health information management, business/public administration, healthcare administration, or a related field, plus two years of experience in medical billing, coding, or revenue cycle operations.
• Experience supervising or leading staff, or an equivalent combination of education and experience.
• Certification in medical billing/coding.
• Experience with electronic medical records systems (especially Epic).
• Proficiency with reporting or data-manipulation tools such as Microsoft Access, Excel, or SQL.

NECESSARY SPECIAL QUALIFICATIONS: Valid driver's license with a driving record that meets county standards for operating county-owned vehicles.

Skills & Abilities

• Customer focused
• Significant knowledge of medical office billing, coding, and reimbursement practices.
• Strong knowledge of modern office procedures, practices, and equipment.
• Basic knowledge of public administration and business administration principles.
• Basic knowledge of human resources policies and practices.
• Basic knowledge of accounting principles and methods.
• Familiar with revenue cycle management.
• Technical skills and the ability to analyze business operations and financial reporting.
• Ability to exercise sound judgment and discretion in interpreting and applying policies and procedures.
• Ability to plan, assign, and review the work of others.
• Ability to understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with coworkers, officials, and the public.
• Ability to communicate clearly and concisely, both verbally and in writing, with individuals at all levels of the organization.
• Ability to work effectively under time constraints and competing demands.

PHYSICAL DEMANDS:

N (Not Applicable) Activity is not applicable to this position.

O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs/day)

Physical Demands

Stand F

Walk O

Sit F

Manually Manipulate F

Reach Outward F

Reach Above Shoulder O

Climb O

Crawl O

Squat or Kneel O

Bend O

Lift/Carry

10 lbs or less O

11-20 lbs. O

21-50 lbs. O

51-100 lbs. O

Over 100 lbs. N

Push/Pull

12 lbs or less F

13-25 lbs. O

26-40 lbs. O

41-100 lbs. O

Other Physical Requirements•Vision (Near, Distance, Peripheral)

Health Insurance - Full-time employees are eligible for medical/health (Cigna Insurance) benefits upon the 1st of the month following 30 days of employment.

Alamance County Government currently offers three plans of medical/pharmacy benefit options including 2 Standard PPO plans and a High-Deductible Health Plan with HSA.

Dental Benefit - Alamance County offers one dental insurance (Delta Dental) plan for FT employees at no cost. The plan, if elected, would be effective the first of the month following 30 days of FT employment.

Vision Insurance - A voluntary vision program (Superior Vision) is available to FT employees. The current PPO style plan allows employees to seek treatment and hardware from any vision care provider of their choice. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event.

Voluntary Benefits: Alamance County Government provides a variety of voluntary health related benefits (Voya) to allow employees to purchase protection from what life may bring. A sampling of voluntary benefits includes Flexible Spending Accounts with dependent care opportunities, Health Saving Account with an employer contribution, Short Term Disability, Long Term Disability, Cancer Protection Plan, Group Critical Care Insurance and more.

Life Insurance - Basic term life insurance is the amount of one times the annual salary (no greater than $70,000) is provided for all FT employees. Additional coverage is available for purchase through payroll deductions for employee and eligible dependents.

Retirement Benefits - Membership in the NC Local Government Employees Retirement System (NCLGERS) is a requirement for all full-time and regular part-time employees (working more than 1,000 hours annually). Employees contribute six percent (6%) of their annual compensation before it is taxed.

Time Off Accruals:

Vacation Time - Annual Leave is accrued based on years of service. Employees can accrue from 10-25 days per year.

Sick Time - All County full time employees earn 12 days of sick leave per year.

County Observed Holidays - Alamance County will observe the State of North Carolina Holiday Schedule.

Wellness Benefits & Programming:

Employee Assistance Program: There are times when everyone needs a little help or advice. The confidential Employee Assistance Program (EAP) through a local provider can help you with things like stress, anxiety, depression, chemical dependency, relationship issues, legal issues, parenting questions, financial counseling and dependent care resources. Best of all its free for County employees and available for your household to utilize. Utilization of the EAP is completely confidential and participation isnt recorded.

Help is available 24/7/365 by telephone.

Alamance County Employee Health Center: Available to employees and spouses who are covered under the Alamance County Insurance Plan and their covered dependents, 18 years of age and older. Retired employees under age 65 are also eligible to use the health center. Depending on insurance coverage elected, care at the clinic ranges from free to a fair market value cost.

Services Available:

Treatment of injuries or illnesses such as flu, sinus Infection, pink eye, sprains, strains or fever.

Monitor chronic conditions (Diabetes, Hypertension, Hyperlipidemia, Health Disease, Asthma, etc...)

Assistance with finding a Primary Care Provider

Health Education and Counseling

Triage and referrals to specialists when appropriate.

Alamance County provides a variety of additional benefits including bereavement pay, Paid Parental Leave, Wellness Leave to focus on work-life balance initiatives, Volunteer Time Off (paid time) opportunities to be a part of the Alamance Community, to opportunities for professional certification pay.

Employee Fitness Center:

Alamance County encourages all employees to maintain a healthy lifestyle both at home and at work. In support of this philosophy an Employee Fitness Center is available for all County employees to use at their convenience during non-work hours and is open 6:00 AM to 9:00 PM Monday-Sunday. This center includes weight training equipment, cardio equipment, a small aerobics room along with restrooms, changing room and lockers.

01

It is critical to our screening and salary determination process that applications contain comprehensive information. Information should be provided in the appropriate areas to include the beginning and end dates of jobs worked, education with the date graduated, all work experience, and certificates/licenses. Resumes will NOT be accepted in lieu of completing this application. Answers to Supplemental Questions must refer to education or work experience listed on this application to receive credit. Degrees must be received from appropriately accredited institutions. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. By entering your initials in the free text cell below, you are acknowledging your understanding of the above and that you have provided all relevant education, experience, skills and certifications/licensures on this application.

02

If you have a college degree, what was your major area of study? Enter N/A if this does not apply.

03

Do you have a valid drivers license?

• Yes
• No

04

Please describe your supervisory experience

05

Please describe your work experience in medical billing, coding or revenue cycle operations

06

Do you have a certification in medical billing/coding?

• Yes
• No

07

Describe your experience with medical records systems

08

How many years of experience do you have in medical billing, coding, or revenue operations?

Required Question

Employer Alamance County Government

Address 124 West Elm Street

Graham, North Carolina, 27253

Phone 336-570-4028

Website http://www.alamance-nc.com