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Biller - Home Health

Pennant Services

Las Vegas, Nevada

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JOB DETAILS
SKILLS
Accounting, Accounts Receivable, Accounts Receivable Management, Auditing, Billing, Business Administration, Cash Management, Claims Processing, Collection Agency, Communication Skills, Credit and Collections, Documentation, General Ledger Accounting, Generally Accepted Accounting Principles (GAAP), Government Billing, Government Regulations, Healthcare, Home Care, Hospice Care, Information Assets, Information Technology & Information Systems, Leadership, Medicaid, Medical Billing, Medical Records, Medicare, Medicare Cost Reports, Negotiation Skills, Operations Management, Past Due Accounts, Patient Confidentiality, Public/Media/Press/Analyst Relations, Record Keeping, Regulations, Reimbursement, Systems Administration/Management, Team Player, Time Management
LOCATION
Las Vegas, Nevada
POSTED
30+ days ago
JOB SUMMARY

Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions for Comfort agency(s).

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 pre-billing team when findings require further documentation.
  • Ensures that billing and patient accounts record systems are maintained in accordance
  • with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations.
  • Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
  • Advises Executive Director in matters of accepting/declining problematic payers.
  • Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.
  • Monitors aged accounts receivables and resubmit 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 billing team. Works with 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.

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 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.

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.

About the Company

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Pennant Services

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