Billing Supervisor - Healthcare

Pinnacle Home Care

Boca Raton, FL(remote)

JOB DETAILS
SKILLS
Accounts Receivable, Analysis Skills, Auditing, Billing, Clinical Nursing, Documentation, Electronic Medical Records, Fax Machines, Federal Laws and Regulations, Finance, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Administration, Healthcare Management, Healthcare Providers, High School Diploma, Home Care, Maintain Compliance, Medical Billing, Medical Records, Medicare, Mentoring, Needs Assessment, Patient Care, Patient Confidentiality, People Management, Pinnacle, Problem Solving Skills, Quality of Care, Regulatory Compliance, State Laws and Regulations, Strategic Planning, Team Lead/Manager, Trend Analysis, ZenDesk
LOCATION
Boca Raton, FL(remote)
POSTED
1 day ago

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 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.





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!

Requirements:

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


About the Company

P

Pinnacle Home Care

Pinnacle Home Care is dedicated to providing excellent healthcare to people in their homes through its commitment to clinical and services excellence. The home health services are designed to restore acutely ill, convalescing and disabled people to their maximum potential for good health and independent functioning.

Our team of licensed professionals includes registered nurses, home health aides, physical therapists, speech therapists and occupational therapists. Every member of our team provides personal care, delivered with skill, reliability and respect.

Pinnacle Home Care seeks to promote the understanding of good health practices; to prevent unnecessary hospitalization; and to facilitate early hospital discharge by providing technically feasible treatment in a therapeutic home environment.

COMPANY SIZE
50 to 99 employees
INDUSTRY
Healthcare Services
FOUNDED
2011
WEBSITE
http://www.pinnaclehcri.com