Billing Supervisor

Ophelia

Ophelia

Administration, People & HR, Operations
United States
USD 70k-80k / year
Posted on Feb 3, 2026
Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime? Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it.
Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.

About the Role

We are seeking a people-first Billing Supervisor to lead a seasoned billing and financial counseling team in a high-growth, fast-paced healthcare environment. This is a pivotal role for a confident, emotionally intelligent leader who thrives on building trust and driving accountability within an experienced team.

The ideal candidate possesses an early-stage company mindset—someone who isn’t just managing a process, but is actively shaping the messaging and playbooks that will define our revenue cycle operations. You will be responsible for overseeing complex medical billing and collections while fostering a culture of high performance, accuracy, and professional growth.

Key Responsibilities

Collaborative Leadership & Team Partnership

  • Empower Experts: Lead and mentor a knowledgeable team of Billing and Financial Counseling professionals, fostering a culture of mutual respect and high-level collaboration.
  • Professional Growth: Partner with team members on individualized development plans, offering the coaching and support needed to navigate a rapidly scaling environment.
  • Unified Alignment: Establish clear, consistent expectations for performance and communication, ensuring the team is synced on goals and outcomes.
  • Resilience & Depth: Champion cross-training and knowledge-sharing initiatives that leverage the team’s existing expertise to ensure long-term stability.
  • Effective Communication: Serve as a transparent leader who can navigate complex organizational changes and facilitate productive, open dialogue.

Operational Excellence & Revenue Integrity

  • End-to-End Oversight: Manage the full lifecycle of billing, collections, and eligibility verification to ensure accuracy and timely claims processing.
  • Data-Driven Insights: Monitor denial trends and underpayments to identify root causes; collaborate with the team to implement sophisticated, long-term solutions.
  • System & Regulatory Stewardship: Maintain the integrity of our billing software, ensuring it reflects current reimbursement rates, codes, and compliance requirements.
  • Reporting: Deliver comprehensive month-end insights to leadership, highlighting team successes and operational health.

Workflow Optimization

  • SOP Evolution: Update and own Standard Operating Procedures (SOPs) in partnership with the team to ensure our workflows remain efficient and scalable.
  • Strategic Escalation: Act as a resource for the team on complex insurance issues and patient collections, providing solution-oriented support.
  • Resource Coordination: Monitor workloads and staffing coverage to ensure a balanced, sustainable pace for the team during high-volume periods.

Qualifications

  • Demonstrated leadership: Minimum of 5 years of experience in medical billing and collections, 2+ years of experience in supervisory roles.
  • People-first leader: Dedicated leader who can inspire and empower a team, driving measurable outcomes and individual growth
  • RCM knowledge: Expertise in handling medical denials, payer issues, and reimbursement rates.
  • Systems fluency: Proficient in billing software and insurance portals, with the ability to manage staff access and ensure technical tools are used effectively.
  • Fiscal accountability: Experienced in coordinating month-end close processes, including the accurate processing of write-offs and financial reporting.
  • Organized: Excellent organizational and time-management skills to oversee multiple tasks and meet deadlines.
  • Strong communicator: Ability to handle escalations and internal discussions with a calm, solution-oriented approach.
  • Adaptability: Comfortable in a growing company; able to help a team stay organized and effective during periods of change.
  • Preferred: Knowledge of Substance Abuse, Telehealth and healthcare billing processes.

Our Benefits Include

  • Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
  • Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure
  • 10 company holidays
  • Work From Home Stipend
  • 401k Contribution Platform
  • Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!

#LI-Remote

Ophelia Compensation Overview
  • We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we’re not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone’s negotiation skills.
  • Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We’re happy to discuss this approach and our bands if you have questions during the interview process.
Compensation Range
$70,000$80,000 USD

Interested in learning more about Ophelia and this role? Apply to work with us!