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Pinnacle Home Care

Billing Supervisor

Pinnacle Home Care

Billing Supervisor responsible for supervising and training billing staff in a home health agency. Ensuring compliance with Medicare and processing of medical claims efficiently.

Posted 5/14/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSeniorWebsite

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

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Applicant Tracking System Keywords

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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