Billing Supervisor - Healthcare

Pinnacle Home Care • Oldsmar, FL

10d • Onsite

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. The Billing Supervisor will oversee various billing processes, conduct audits for compliance, manage accounts receivable, and analyze billing reports. This position plays a crucial role in ensuring the financial health of the organization by improving collections and reducing revenue leakage, while also collaborating with clinical teams to support accurate billing through proper documentation.

Requirements

• Bachelor’s degree in healthcare administration, finance, or business preferred; high school diploma required.
• 3–5 years of experience in medical billing
• 1–3 years of team leadership or supervisory experience

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.

Benefits

• Personalized, One-on-One Care
• Growth & Stability
• Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement.
• Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
• Recognized Excellence: Ranked as a USA Today Top Workplace.
• Flexible Scheduling
• Supportive & Fun Culture

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level