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