Billing Specialist - Medi-Cal

About The Company

Pennant Services is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and home care industries. Affiliates of Pennant Services now operate over 200 senior living, home health, hospice, and home care operations across 14 states, and we are growing! These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides the centralized clinical, compliance, risk management, HR, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual agencies.

Something Else That Sets Us Apart From Other Companies Is The Quality Of Our Most Valuable Resources – Our People! We Are Dedicated To Living Out Our Culture As Defined By Our Core Values, “CAPLICO”

Customer Second

Accountability

Passion for Learning

Love One Another

Intelligent Risk Taking

Celebrate

Ownership

By incorporating these principles at all levels of our organization, our employees feel valued and excited about their impact on our service center team members and operational partners. Our culture fosters excellence both personally and professionally and promotes development that leads to continued success.

Job Summary

Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions.

Duties & Responsibilities

• Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Provides oversight and approval of claims, audits, and processing. Conducts final billing audit and issues assignments to the pre-billing team when findings require further documentation.
• Ensures that billing and patient accounts record systems are maintained following generally accepted accounting principles and in compliance with state, federal, and Joint Commission regulations.
• Maintains a comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of the agency in resolving conflicts with payers.
• Advises the manager in matters of accepting/declining problematic payers.
• Maintains a comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and serves as a resource for appropriate agency personnel.
• Monitors aged accounts receivable and resubmits bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
• Gathers, collates, and reports key billing information to the billing team. Works with the Executive Leadership Team in strategizing monthly, quarterly, and annual goals for optimized billing efficiency.
• Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger.
• Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system, and prepares the annual Medicare cost report for Executive Director review.
• Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
• Supervises and reconciles cash receipts and bank deposits according to policy.
• Establishes and maintains positive working relationships with patients, family members, payers, and referral sources.
• Protects the confidentiality of patient and agency information through effective controls and direct supervision of 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.

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

• Associate's degree in Accounting, Business Administration, or related field, Bachelor’s degree preferred.
• At least three years’ experience in health care billing and collections management, preferably in home care operations. Billing information systems knowledge is required.
• Knowledge of corporate business management, governmental regulations, and
• Joint Commission standards.
• 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 deal tactfully with patients, family members, referral sources, and payers.
• Demonstrates autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities.
  
  

Additional Information

We are committed to providing a competitive Total Rewards Package that meets our employees’ needs. From a choice of medical, dental, and vision plans to retirement savings opportunities through a 401(k), company match, and various other features, we offer a comprehensive benefits package. We believe in great work, and we celebrate our employees' efforts and accomplishments both locally and companywide, recognizing people daily through our Moments of Truth Program. In addition to recognition, we believe in supporting our employees' professional growth and development. We provide employees a wide range of free e-courses through our Learning Management System as well as training sessions and seminars.

Compensation: DOE

Type: Full Time

The employer for this position is stated in the job posting.  The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies, as well as senior living communities, located throughout the United States.  Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees, and assets.  More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

#Remote

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.