I. JOB SUMMARY

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.

II. DUTIES & RESPONSIBILITIES

• 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 Text Wrapping Break 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.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.

The incumbents may be requested to perform job-related tasks other than those stated in this description.

III. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

• 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.

Last updated : 2024-05-15