Pennant · 2 weeks ago
Billing Specialist - Medi-Cal
United States
Full-time
Remote
Mid Level
3+ years expPennant Services is a dynamic company in the senior living and home health industries, focusing on providing exceptional care through independent operations. The Billing Specialist is responsible for managing billing, collections, and accounts receivable functions to ensure efficient operations and compliance with regulations.
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
Qualification
Required
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
Benefits
Medical, dental, and vision plans
Retirement savings opportunities through a 401(k), company match
Various other features
Free e-courses through our Learning Management System
Training sessions and seminars
Company
Pennant
At Pennant, we are driven by a simple truth: exceptional care begins with exceptional leadership.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Benjamin Hughes
CEO In Training
Brent Guerisoli
Chief Executive Officer
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