Billing Coordinator

Pennant Services; United States; On-site; USD 42,000 - 60,000; Full time

Job summary

The Pennant Group, Inc. is seeking a Billing Coordinator for our Home Health and Hospice teams. This role manages all billing functions, ensures timely submission of claims, and supports revenue cycle through accurate coding and documentation.

The ideal candidate has at least 1 year in medical billing, with preference for home health or hospice billing, and proficient EMR/clearinghouse use. You will collaborate with collections, perform pre-billing reviews, and stay updated on PDGM and Hospice

Qualifications

• Minimum of 1 year of dedicated experience in medical billing and claims submission, with preference for Home Health or Hospice billing.
• Experience submitting and managing claims to Medicare, Medicaid, and commercial insurance.
• Proficiency in navigating an EMR/billing system and utilizing clearinghouses for electronic submission.
• Solid knowledge of revenue codes related to home health and hospice services.

Responsibilities

• Prepare, review, and submit institutional claims (UB-04/CMS-1450) to Medicare/Medicaid and commercial payers.
• Ensure correct revenue codes on claims to minimize rejections and ensure compliance.
• Support Accounts Receivable by following up on delayed, short-paid, or denied payments with documentation.
• Conduct pre-billing audits to verify eligibility, authorization, and documentation before submission.
• Stay current on federal/state regulations, including PDGM for Home Health and Hospice rates.

Skills

Medical billing

Attention to detail

Analytical skills

Organizational skills

Billing deadlines management

Tools

EMR system

Clearinghouse submission

EMR navigation

Job description

Billing Coordinator - Home Health and Hospice

Join Synergy’s dynamic billing team as a Billing Coordinator! We are seeking a highly organized and detail-oriented individual to manage our billing functions. Your precision and expertise will be vital in optimizing our reimbursement and supporting the financial stability of our essential patient services.

About the Role

The Billing Coordinator is responsible for performing all billing functions for the agency, ensuring claims are submitted accurately and on time to all payers. This role is crucial for revenue cycle success and requires deep knowledge of complex home health and hospice billing rules.

Key Responsibilities

• Claim Preparation and Submission: Prepare, review, and accurately submit institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and all commercial insurance carriers via electronic submission.
• Billing and Compliance: Ensure the correct use of revenue codes on all claims to comply with payer requirements and minimize claim rejections.
• Accounts Receivable (AR) Support: Work closely with the Collections team (or perform initial follow-up) on accounts where payment has been delayed, short-paid, or denied, providing necessary documentation to facilitate recovery.
• Pre-Billing Review: Conduct thorough pre-billing audits to verify patient eligibility, authorization validity, and complete documentation before claim submission.
• Regulatory Knowledge: Stay current on all federal and state regulations, including the Patient-Driven Groupings Model (PDGM) for Home Health and the Hospice payment rates, ensuring claims reflect the latest changes.

Qualifications

Required:

• Minimum of 1 year of dedicated experience in medical billing and claims submission , with a strong preference for experience in Home Health or Hospice billing.
• Proven ability to submit and manage claims to Medicare, Medicaid, and commercial insurance.
• Proficiency in navigating an Electronic Medical Record (EMR) and billing system and utilizing clearinghouses for electronic claim submission.
• Solid working knowledge of revenue codes related to home health and hospice services.

Skills and Competencies

• Exceptional attention to detail and commitment to 100% claim accuracy.
• Strong analytical and mathematical skills for reconciliation and payment posting.
• Excellent organizational skills and the ability to manage high-volume submission deadlines.
• Proactive and persistent approach to resolving billing edits and rejections.
• Strong ethical commitment to compliance and accurate financial reporting.

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.