[Remote] Billing Supervisor - Healthcare

Note: The job is a remote job and is open to candidates in USA. Pinnacle Home Care is Florida’s largest independent Medicare-certified home health provider, dedicated to delivering high-quality, patient-centered care. They are seeking a Billing Supervisor to oversee billing staff, ensure compliance with regulations, and manage the billing process effectively.

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

Skills

• High school diploma required
• 3–5 years of experience in medical billing
• 1–3 years of team leadership or supervisory experience
• Bachelor's degree in healthcare administration, finance, or business preferred

Benefits

• Free Continuing Education Units (CEUs) to support licensure and career advancement.
• Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
• Flexible Scheduling: Enjoy a schedule that aligns with your personal priorities.

Company Overview