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Billing Supervisor
Pinnacle Home CareBilling Supervisor responsible for supervising and training billing staff in a home health agency. Ensuring compliance with Medicare and processing of medical claims efficiently.
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- 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
Benefits
Comp & perks- Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
- Growth & Stability: Over two decades as Florida’s largest independent home health agency.
- Recognized Excellence: Ranked as a USA Today Top Workplace.
- Supportive & Fun Culture: Join a collaborative, forward-thinking team that values both professional excellence and personal fulfillment.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingclaims processingauditingaccounts receivable managementdenied claims resolutionbilling report analysisOASIS documentationbilling policies developmentauthorization managementHIPAA compliance
Soft Skills
supervisiontrainingmentoringproblem-solvingcommunicationcollaborationstrategic thinkingtime managementattention to detailadaptability
Certifications
Bachelor's degreehigh school diploma