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Billing Lead

Location: Germantown, WI (Remote-Within Wisconsin)

Position Type: Full Time - Can be remote or in office

JOB SUMMARY:

Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions for portfolio. Responsible for leading the billing and collections team.

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.

Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.

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.

Collaborate with the Executive Director in successfully reconciling the billing system reports with the general ledger.

Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.

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.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

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 of experience in health care & hospice billing and collections management, preferably in home care operations. Billing information systems knowledge required.
• Must have HCHB experience
• Demonstrated ability to lead and direct personnel.
• Knowledge of corporate business management, governmental regulations and Joint Commission standards.
• Demonstrates 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, organization, assertiveness, flexibility and cooperation in performing job responsibilities.

Apply Today

If you're ready to bring your billing expertise to a team that supports compassionate care, we'd love to hear from you.

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.