Job Description

The Revenue Cycle Supervisor is responsible for overseeing the accurate and timely completion of billing, collections, authorizations, eligibility, and accounts receivable functions. This role supports hospice-related billing activities including Authorizations, and eligibility processes.

The position maintains collaborative relationships with payer representatives and community partners, including skilled nursing facilities, and provides workflow oversight for internal billing, authorization, and eligibility staff. The Supervisor participates in departmental timelines and month-end procedures, analyzes trends by financial class, and supports process improvement initiatives to ensure compliance and optimal reimbursement outcomes.

This is a full-time, on-site position reporting to Revenue Cycle leadership.

EDUCATION AND QUALIFICATIONS:

• High school diploma/GED Associates degree or equivalent experience preferred.
• Three years of experience in hospice, home health or physician billing, six years preferred.
• Proficient in Microsoft Office with strong working knowledge in Excel and Word preferred.
• Preferred: Working knowledge of Florida Medicaid billing regulations, hospice room and board billing, and/or Skilled Nursing Facility (SNF) billing processes.
• Preferred: Experience collaborating with external partners such as skilled nursing facilities, Medicaid managed care organizations, or community-based providers.

ESSENTIAL JOB RESPONSIBILITIES:

• Serves as a billing liaison with community partners, including skilled nursing facilities and payer representatives, to support accurate and timely reimbursement.
• Supports coordination and workflow oversight for internal Medicaid and commercial insurance billing staff to ensure consistency, compliance, and productivity.
• Applies working knowledge of Florida Medicaid and Medicaid managed care requirements to identify billing risks, resolve claim issues, and reduce denials.
• Reviews accuracy of patient data to ensure compliant generation of claims to payers
• Ensures reimbursement through efficient, accurate and timely billing process for effective accounts receivable management and completes appeals as needed on outstanding accounts.
• Generates claims for submission to payers in accordance with established schedule.
• Analyze, monitor and work the aged accounts receivable; correcting, resubmitting or problem solving in order to complete the billing process.
• Provide reports to the Revenue Cycle Director, as needed.
• On call coverage, as needed.
• Identify, prepare and submit patient account adjustments to Revenue Cycle Director.
• Assist in reviewing accounts for the Quarterly Medicare Credit Balance Report.
• Reviews pre-billing reports to ensure accurate account setup prior to billing and participates in month end close.
• Assist in system testing for upgrades/patches and new software.
• Identifies payment and denial trends with the payers and reports them to the Director.
• Protects the confidentiality of patient and organization information through effective controls and supervision of billing operations and serves as a resource for appropriate organization personnel.
• The incumbents may be requested to perform job-related tasks other than those stated in this description.

EEO Statement:

Gulfside Healthcare Services, Inc. is committed to Equal Employment Opportunity (“EEO”) and complies with all federal, state, and local laws that prohibit workplace discrimination and unlawful retaliation.

NOTE: All Gulfside Healthcare Services positions (except some Thrift Shoppe Positions) require an AHCA Level 2 Fingerprint screening for eligibility through the AHCA Florida Care Provider Background Screening Clearinghouse. Please refer to this link for more information on this: https://info.flclearinghouse.com