Billing Supervisor

Are you looking to make a difference in patients lives with a company that values your expertise Join us in our mission of delivering compassionate healthcare where it matters most at home.

Pinnacle Home Care Floridas largest independent Medicare-certified home health provider has been delivering high-quality patient-centered care for over two decades and were looking for Billing Supervisor to join our award-winning team.

Key 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.

Qualifications

• Bachelors degree in healthcare administration finance or business preferred; high school diploma required.
• 35 years of experience in medical billing
• 13 years of team leadership or supervisory experience

Why Choose Pinnacle

• Growth & Stability: Over two decades as Floridas largest independent home health agency.
• Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
• 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.

Pinnacle promotes an inclusive environment and is an equal opportunity employer. We prohibit discrimination or harassment based on race religion age gender national origin disability veteran status or other legally protected characteristics.

Be part of a company that empowers clinicians to make a difference in the lives of over 10000 patients across Florida every day. Apply now!

Required Experience:

Manager