Pennant ยท 5 hours ago
Billing Specialist
Pennant is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies. The Home Health and Hospice Billing Specialist is responsible for managing billing processes, ensuring timely submission of claims, and supporting revenue cycle operations to optimize reimbursement and compliance.
Hospital & Health Care
Responsibilities
Prepare and submit accurate Medicare, Medicaid, and Commercial insurance claims through Home Care Home Base (HCHB) and Waystar billing platforms. Ensure compliance with Patient -Drive Groupings Model (PDGM) billing rules and payer-specific guidelines
Monitor, review, and follow up on claims, including aging accounts receivable, denied or rejected claims. Resubmit overdue accounts and escalate seriously overdue accounts to collections when necessary
Collaborate with cross-functional teams including Intake, Authorization, Clinical, Operations Support Office (OSO), and regional staff to ensure billing accuracy and resolve any discrepancies. Respond to billing inquiries from internal and external stakeholders
Participate in Accounts Receivable (AR) and Billing Accountability Meetings (BAM). Prepare and review relevant reports such as billing summaries, bad debt, and outstanding AR to ensure accuracy and completeness. Assist with audits and provide documentation as needed
Other duties as assigned related to billing and revenue cycle operations
Qualification
Required
Minimum 2 years of billing experience in Home Health and/or Hospice
2-5 years of experience preferably in Home Care
Strong written and verbal communication skills
The Billing Specialist must have Home Health and Hospice billing experience
Proficiency with HCHB EMR, clearinghouses such as DDE and Waystar
A strong understanding of Medicare, Medicaid, and commercial insurance billing
Excellent organizational, analytical, and communication skills
Ability to work independently and manage multiple priorities in a deadline-driven environment
Preferred
Bachelor's Degree Business Administration or related field