Billing Supervisor - Healthcare

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, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a 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 the development of and enforcement of 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 HIPAA requirements Respond to all inquiries with a resolution to concerns and/or discrepancies Qualifications 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 Why Choose Pinnacle? Personalized, One‑on‑One Care: Help patients heal and regain their independence by delivering individualized care in the comfort of their homes Growth & Stability: Over two decades as Florida’s largest independent home health agency Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement Competitive Benefits & Perks: Including an employee referral program where you can earn rewards Recognized Excellence: Ranked as a USA Today Top Workplace Flexible Scheduling: Enjoy a schedule that aligns with your personal priorities 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 10,000 patients across Florida every day. Apply now! #J-18808-Ljbffr Pinnacle Home Care