Senior Billing & AR Specialist – Healthcare

Deercreekseniorliving; Arizona; On-site; USD 70,000 - 95,000; Full time

Job summary

The Pennant Group, Inc. is seeking an experienced manager to oversee billing, collections and accounts receivable for River Valley Home Health & Hospice agencies across the United States.

Responsibilities include ensuring reimbursement through efficient operations, overseeing claims audits, performing final billing audits, and maintaining GAAP-compliant patient accounting records in accordance with state and federal 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 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 DOO 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 DOO 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 description

The Pennant Group, Inc. is seeking an experienced manager to oversee billing, collections and accounts receivable for River Valley Home Health & Hospice agencies across the United States.

Responsibilities include ensuring reimbursement through efficient operations, overseeing claims audits, performing final billing audits, and maintaining GAAP-compliant patient accounting records in accordance with state and federal regulations.