Billing Supervisor - Healthcare

Pinnacle Home Care•Bradenton, FL

9h•Remote

About The Position

Pinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, is seeking a Billing Supervisor to join their award-winning team. This role involves supervising, training, and mentoring billing staff to ensure accurate and timely claim processing, compliance with Medicare regulations, and efficient accounts receivable management. The Billing Supervisor will also partner with clinical teams to ensure documentation supports billing and will be responsible for generating reports, resolving complex claims, and adhering to HIPAA regulations.

Requirements

High school diploma required.
3–5 years of experience in medical billing
1–3 years of team leadership or supervisory experience

Nice To Haves

Bachelor’s degree in healthcare administration, finance, or business preferred.

Responsibilities

Supervise, train, and mentor billing staff, assigning work to ensure all claims are processed according to company guidelines
Oversee the submission of Notice of Admissions (NOA), RAP (Requests for Anticipated Payment), and final claims in EMR systems
Conduct regular audits of patient records to ensure compliance with Medicare regulations and all payer standards
Monitor and reduce accounts receivable (A/R) days and denial rates, developing strategies to improve collections and reduce revenue leakage
Review and resolve complex denied claims, submitting appeals and managing the follow-up process
Generate and analyze daily/weekly/monthly billing reports to monitor trends and report to management
Partner with clinical managers, nurses, and clinicians to ensure OASIS documentation and physician orders support accurate billing
Assist in development of and enforce billing policies and procedures, keeping the team updated on payer changes
Assign any Office Authorization as needed for patient care to continue without delay, until authorization has been submitted and returned with a decision.
Monitor Zendesk, WellSky fax inquiries, and incoming faxes throughout the day to update patient authorization status and adhere to any failed faxes in WellSky requiring more information to process authorization.
Analyze and reconcile complex issues and problems.
Prepare and analyze appropriate reports and other business correspondence.
Identify needs and opportunities and present them to the supervisor with recommended solutions.
Meet productivity goals assigned by the Authorization Supervisor.
Adhere to federal, state, and agency regulations and policies to maintain confidentiality of patients and agency information per HIPPA requirements.
Respond to all inquiries with a resolution to concerns and/or discrepancies.