A- Work from
- United States
- Contract
- Full-time
- Posted
- 14 November 2026
- Apply by
- 13 January 2027
Responsibilities
- Oversee the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts.
- Strong customer service skills; answering calls, prompt return and follow-up to all interactions; prompt response to request for information, both internally and externally.
- Identify, implement and improve billing and collections processes that will make a positive contribution to financial results.
- Develop and implement goals, policies, procedures, and guidelines, which ensure the reimbursement analysts are working efficiently and maximizing reimbursement.
- Monitor the effectiveness of activities to ensure authorizations, billings, postings, collections, accounts receivable and adjustments stay within established ranges.
- Prepare accurate and meaningful billing, collections, accounts receivable and bad debt reports.
- Report, review, maintain, and analyze all insurance reports by tracking and monitoring codes, payments, denials, and refund processes to meet compliance and performance standards.
- Oversee functionality and integrity of software to ensure timely and accurate administration of electronic claims, and electronic payment remittance.
- Yearly reviews for direct staff – keeping notes on their performance both good and bad
- Monthly one on one individual meetings with your direct reports
- Weekly team meetings with your team to go over issues/ideas/recommendations
- Supervise Billing and AR team through effective hiring, coaching, mentoring, and performance management. Ensure development of staff to achieve high results.
- Continue education in reimbursement rules, billing rules, and coding.
- Bill and Collect as needed to meet goals and expectations of the clients
- Work on metrics for the Reimbursement Analysts to meet monthly and monitor and enforce these goals
- Conduct conference calls weekly/bi-weekly/monthly or as requested/needed by the clients
- Attend yearly conferences as requested by management
- Complete daily, weekly, and monthly assignments as assigned by Management
Requirements
- Experience with medical billing for home infusion/specialty pharmacies/DME or another area of medical billing.
- Candidates should possess a roll-up-your-sleeves attitude and display a willingness to work hard and be a member of the team.
- Building a service-oriented practice with a positive work culture is a high priority.
- Graduate of an accredited Medical Billing Program and hold billing certification preferred.
- WeInfuse, CPR Plus or CareTend system use preferred
- Minimum of 3 years’ experience in Billing Management/Supervision is preferred
- Knowledge of Microsoft Office and proficient with spreadsheets.
- Proficiency in medical terminology, HCPC and ICD 10 coding.
- Proficiency in filing medical claims
- Expertise in reading and interpreting EOBs
- Excellent Communication Skills
- Commitment to goals and Philosophy of Pinnacle Revenue Management, Inc.
- HIPAA compliance knowledge
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Discussion
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