Revenue Cycle Supervisor

Gulfside Career•Land O' Lakes, FL
•Onsite

About The Position

The Revenue Cycle Supervisor oversees the accurate and timely completion of billing, collections, authorizations, eligibility, and accounts receivable functions, with a focus on hospice-related billing and authorization and eligibility processes. The role maintains collaborative relationships with payer representatives and community partners, including skilled nursing facilities, and provides workflow oversight for internal billing, authorization, and eligibility staff. The Supervisor participates in departmental timelines and month-end procedures, analyzes trends by financial class, and supports process improvements to promote compliance and optimal reimbursement outcomes. This is a full-time, on-site position reporting to Revenue Cycle leadership. An AHCA Level 2 fingerprint screening is required for eligibility through the AHCA Florida Care Provider Background Screening Clearinghouse.

Requirements

  • High school diploma or GED.
  • Three years of experience in hospice, home health, or physician billing.
  • Proficiency in Microsoft Office, with strong working knowledge of Excel and Word preferred.
  • AHCA Level 2 fingerprint screening for eligibility through the AHCA Florida Care Provider Background Screening Clearinghouse.

Nice To Haves

  • Associate degree or equivalent experience preferred.
  • Six years of experience in hospice, home health, or physician billing preferred.
  • Working knowledge of Florida Medicaid billing regulations, hospice room and board billing, and/or skilled nursing facility billing processes preferred.
  • Experience collaborating with external partners such as skilled nursing facilities, Medicaid managed care organizations, or community-based providers preferred.
  • Strong working knowledge of Excel and Word preferred.

Responsibilities

  • Serve as a billing liaison with community partners, including skilled nursing facilities and payer representatives, to support accurate and timely reimbursement.
  • Support coordination and workflow oversight for internal Medicaid and commercial insurance billing staff to ensure consistency, compliance, and productivity.
  • Apply working knowledge of Florida Medicaid and Medicaid managed care requirements to identify billing risks, resolve claim issues, and reduce denials.
  • Review patient data for accuracy and compliant claim generation.
  • Ensure reimbursement through an efficient, accurate, and timely billing process; manage accounts receivable and complete appeals on outstanding accounts as needed.
  • Generate claims for submission to payers according to the established schedule.
  • Analyze, monitor, and work aged accounts receivable by correcting, resubmitting, or problem-solving accounts to complete billing.
  • Provide reports to the Revenue Cycle Director as needed.
  • Provide on-call coverage as needed.
  • Identify, prepare, and submit patient account adjustments to the Revenue Cycle Director.
  • Assist with reviewing accounts for the Quarterly Medicare Credit Balance Report.
  • Review pre-billing reports to ensure accurate account setup before billing and participate in month-end close.
  • Assist with system testing for upgrades, patches, and new software.
  • Identify payment and denial trends with payers and report them to the Director.
  • Protect the confidentiality of patient and organization information through effective controls and supervision of billing operations, and serve as a resource for appropriate organization personnel.
  • Perform other job-related tasks as requested.
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