Platinum Home Health Services · 23 hours ago
Billing Supervisor
Mayfield Heights, OH
Full-time
Onsite
Mid, Senior Level
$60K/yr - $80K/yrPlatinum Home Health Services is seeking an experienced and detail-oriented Billing Supervisor to manage the daily operations of their billing department. The role involves overseeing medical billing operations, ensuring compliance with regulations, and supervising billing staff across multiple entities.
Elder CareHealth CareHome Health CareTherapeutics
Responsibilities
Provide centralized oversight of medical billing operations across all Platinum-affiliated entities, including skilled home health, non-skilled personal care, outpatient therapy, and mobility-related services as applicable
Ensure consistent billing standards, workflows, and controls across all Platinum locations and service lines
Coordinate billing activities for Medicare, Medicaid, commercial insurance, managed care, and private pay programs across multiple tax IDs and NPIs
Serve as the primary billing liaison between operating companies and Platinum Management Services
Oversee end-to-end revenue cycle processes for all applicable Platinum entities, from intake through final payment posting
Ensure timely submission of NOAs, final claims, adjustments, rebills, and secondary claims
Monitor and manage A/R aging across all companies, identifying trends by payer, location, and service line
Implement corrective action plans to reduce denials, delays, and write-offs
Support leadership with accurate cash flow forecasting and revenue performance insights
Ensure enterprise-wide compliance with CMS, Medicare, Medicaid, and payer-specific billing regulations
Maintain expertise in PDGM, OASIS impact on billing, LUPA thresholds, and value-based purchasing models affecting home health agencies
Oversee internal billing audits across all Platinum entities to identify compliance risks and revenue leakage
Collaborate with compliance, clinical leadership, and ownership to address audit findings and implement corrective measures
Work closely with intake, clinical management, QA, and therapy leadership across all companies to ensure documentation supports billed services
Identify cross-company documentation patterns impacting billing accuracy and reimbursement
Ensure timely completion and maintenance of physician orders, certifications, recertifications, and plans of care
Coordinate corrections to OASIS, visit documentation, and episode data to resolve billing discrepancies
Supervise and support centralized billing staff serving multiple Platinum entities
Assign workloads based on payer mix, volume, and entity-specific requirements
Provide training and ongoing education to billing staff on payer rules, regulatory updates, and system changes
Participate in hiring, performance evaluations, corrective action, and staff development planning
Prepare consolidated and entity-specific billing and A/R reports for ownership and executive leadership
Track and analyze KPIs across all companies, including days in A/R, clean claim rates, denial rates, and payer turnaround times
Provide data-driven recommendations to improve financial performance and operational efficiency
Support month-end, quarter-end, and year-end reporting related to billing and receivables
Oversee EMR and billing system workflows to ensure accurate and consistent data flow across entities
Collaborate with IT and operations to implement system upgrades, payer changes, and workflow enhancements
Develop, maintain, and enforce standardized billing policies and procedures across all Platinum companies
Ensure secure handling of PHI and adherence to HIPAA and internal data security standards
Serve as the escalation point for complex, high-risk, or multi-entity billing issues
Communicate with Medicare MACs, Medicaid offices, managed care organizations, and commercial payers
Coordinate responses to ADRs, audits, and payer inquiries in collaboration with compliance and leadership
Support ownership and leadership during external audits, surveys, or financial reviews
Qualification
Required
High school diploma or equivalent required; associate's or bachelor's degree preferred
Minimum of [X] years of healthcare or home health billing experience
Strong knowledge of Medicare, Medicaid, and third-party payer billing
Excellent attention to detail, organizational, and problem-solving skills
Ability to manage multiple priorities and meet deadlines
Experience with EMR and billing software systems
Preferred
Previous supervisory or lead billing experience preferred
Familiarity with home health billing regulations, including PDGM preferred
Benefits
Competitive pay
Supportive leadership and collaborative work environment
Opportunity for growth and advancement
Meaningful work supporting patient care operations
Company
Platinum Home Health Services
Platinum Home Health Services is a home health care agency that offers skilled nursing, physical therapy, and medicare services.
Founded in 2003
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase