Remotery

Billing Supervisor

atPinnacle Home CareUS flagFloridaFull-timeBilling SpecialistMid-levelSenior

Posted 17 hours ago

📋 Description

• Supervise, train, and mentor the billing team, delegating tasks to ensure all claims are processed in accordance with company guidelines.

• Manage the submission of Notice of Admissions (NOA), RAP (Requests for Anticipated Payment), and final claims within EMR systems.

• Perform regular audits of patient records to guarantee compliance with Medicare regulations and standards set by all payers.

• Monitor and aim to reduce accounts receivable (A/R) days and denial rates, formulating strategies to enhance collections and minimize revenue loss.

• Review and address complex denied claims, submitting appeals and overseeing the follow-up process.

• Produce and analyze daily, weekly, and monthly billing reports to track trends and provide updates to management.

• Collaborate with clinical managers, nurses, and clinicians to ensure that OASIS documentation and physician orders accurately reflect billing needs.

• Assist in the formulation and enforcement of billing policies and procedures, keeping the team informed about changes from payers.

• Assign any necessary Office Authorization for patient care to proceed without interruption, until authorization has been submitted and a decision received.

• Monitor Zendesk, WellSky fax inquiries, and incoming faxes throughout the day to update patient authorization status and address any failed faxes in WellSky that require additional information for processing authorization.

• Analyze and reconcile intricate issues and problems.

• Prepare and assess appropriate reports and other business correspondence.

• Identify needs and opportunities, presenting them to the supervisor along with recommended solutions.

• Meet productivity targets set by the Authorization Supervisor.

• Comply with federal, state, and agency regulations and policies to protect the confidentiality of patient and agency information in accordance with HIPAA requirements.

• Address all inquiries with resolutions to concerns and/or discrepancies.


⛳️ Requirements

• Bachelor’s degree in healthcare administration, finance, or business is preferred; a high school diploma is required.

• 3–5 years of experience in medical billing.

• 1–3 years of experience in team leadership or supervisory roles.


🏝️ Benefits

• Competitive Benefits & Perks: Including an employee referral program that offers rewards.

• Growth & Stability: Over 20 years as Florida’s largest independent home health agency.

• Recognized Excellence: Ranked as a Top Workplace by USA Today.

• Supportive & Fun Culture: Be part of a collaborative, innovative team that values both professional excellence and personal fulfillment.

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