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PruittHealth · 1 day ago

Home Infusion Pharmacy Billing Supervisor

Norcross, GA

Full-time

Onsite

Senior Level

5+ years exp

PruittHealth is a healthcare company dedicated to providing quality home infusion services. The Home Infusion Pharmacy Billing Supervisor is responsible for leading the billing operations, ensuring compliance with healthcare regulations, and managing a team of billing professionals.

Health CarePersonal HealthWellness

Responsibilities

Supervise daily billing and collections activities to ensure timely and accurate invoicing for all home infusion services

Oversee the preparation and submission of insurance claims, verify patient benefits and payer contracts, and manage follow-up on denied or unpaid claims

Ensure billing codes, documentation, and reimbursement amounts are accurate and compliant with current healthcare regulations and payer guidelines

Recruit, train, mentor, and evaluate billing staff to foster a high-performing, collaborative team environment

Act as a subject matter expert to resolve complex billing discrepancies and account issues

Conduct regular audits to identify trends, inefficiencies, and opportunities for process optimization

Track billing and collection metrics, reconcile payments, and support financial reporting to maintain healthy cash flow

Collaborate with insurance providers, patients, and internal departments to resolve coverage issues and clarify billing details

Qualification

Medical billing experienceBilling software proficiencyHealthcare billing regulationsAnalytical skillsCPTICD-10 codingLeadership skillsTeam developmentCommunication skillsAttention to detailOrganizational skills

Required

Bachelor's Degree In Healthcare Administration

Minimum of 5–7 years of progressive experience in medical billing, with at least 3 years in a supervisory or leadership role

Proficiency in billing software (e.g., CPR+, Brightree, or similar platforms)

Strong understanding of HCPCS, CPT, ICD-10 coding, and payer-specific billing requirements

Proven ability to lead and develop teams, manage performance, and foster accountability

Excellent interpersonal, written, and verbal communication skills

Strong analytical mindset with the ability to interpret data, identify trends, and implement solutions

Exceptional attention to detail and organizational skills to manage multiple priorities effectively

In-depth knowledge of healthcare billing regulations, HIPAA, and payer compliance standards

Preferred

Professional certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Revenue Cycle Professional (CRCP) are highly desirable

Prior experience in home infusion pharmacy billing or specialty pharmacy is strongly preferred

Experience with Medicare, Medicaid, and commercial insurance billing for infusion services

Familiarity with URAC, ACHC, or other accreditation standards related to home infusion

Intermediate Excel skills and experience with data analysis or dashboard reporting