Pennant

Life Changing Service

Billing Specialist

Full TimeRemoteTeam 1,001-5,000Since 2016H1B No SponsorCompany SiteLinkedIn

Location

Idaho

Posted

36 days ago

Salary

Not specified

Associate Degree3 yrs expEnglish

Job Description

• Leading their Market’s operations in providing world class best practices for billing, cash collections, and accounts receivable functions for the Markets Home Health & Hospice agencies • Collaborating with the Pennant Service Center AR Resource and Market AR Market Leaders in developing, monitoring, and maintaining those world class best practices for their Market • Partnering with other billers, AR Market Leaders, and Service Center AR Resources within the Home Health & Hospice Segment in shared ownership to ensure a world class AR function across the organization • Creates accountability for billing and collection efforts and procedures for Billers and Billing Managers • Provides front-line support to Billers and Billing Managers, including day-to-day questions and issues, agency-specific collections efforts, and active billing when needed; provides tools to monitor processes and issues • Partners with cluster Executive Directors to provide training to Billers and Billing Managers • Subsequent to the delivery of training, continues to monitor processes to ensure best practices are being followed • Establishes and maintains positive and collaborative working relationships with AR Service Center Resources, Billers/Billing Managers, other AR Market Leaders, payors and referral sources • Maintains comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions • Represents and acts on behalf of agency in resolving conflicts with payers • Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for agency personnel • Monitors and audits for adequate Billing Notes, which are crucial to provide Audit Trail support to document issues addressed, aid in justifying appeals, and ensuring audit compliance • Attends Cluster BAM meetings to identify systemic issues in AR practices, workflow, or system configuration and support standardized best practices among agencies • Monitors aged accounts receivables and related metrics to ensure agencies are meeting established targets and actively assists in achieving targets • Reviews manual revenue adjustments for proper documentation and timely submission • Assists billers with errors with the reconciliation of cash receipts and bank deposits as needed • Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and accreditation requirements • Protects the confidentiality of patient and agency information through effective controls and combined efforts with billing operations.

Job Requirements

  • At least three years’ experience in health care billing and collections management preferably in home health and/or hospice operations and within the Cornerstone Health organization
  • Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills
  • Demonstrated capability to accurately manage detailed information
  • Able to work tactfully and collaboratively with colleagues, peers, service center personnel, referral sources and payers
  • Demonstrates ingenuity, autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.

Benefits

  • Empowered, autonomous leadership supported by centralized resources
  • A work-life balance that supports personal well-being
  • Full benefits package: medical, dental, vision, 401(k) with match
  • Generous PTO, holidays, and professional development
  • A culture built around our core values—CAPLICO: Customer Second Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebrate Ownership

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