Revenue Cycle Supervisor

Gulfside Healthcare Services•Land O' Lakes, FL
•Onsite

About The Position

The Revenue Cycle Supervisor oversees accurate and timely billing, collections, authorizations, eligibility, and accounts receivable functions, including hospice-related billing, 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 contributes to departmental timelines and month-end procedures, analyzes trends by financial class, and supports process improvements that promote compliance and optimal reimbursement outcomes. This is a full-time, on-site position reporting to Revenue Cycle leadership.

Requirements

  • High school diploma or GED; an associate degree or equivalent experience is preferred.
  • Three years of experience in hospice, home health, or physician billing; six years is preferred.
  • A high school diploma or GED is listed as an education qualification; an associate degree or equivalent experience is preferred.

Nice To Haves

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

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 promote 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 effective accounts receivable management through efficient, accurate, and timely billing, and complete appeals as needed on outstanding accounts.
  • 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 the billing process.
  • 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 verify 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 patient and organizational 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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