Billing Coordinator

The Pennant Group

1d

About The Position

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.

Requirements

• 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.
• 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.

Responsibilities

• Prepare, review, and accurately submit institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and all commercial insurance carriers via electronic submission.
• Ensure the correct use of revenue codes on all claims to comply with payer requirements and minimize claim rejections.
• 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.
• Conduct thorough pre-billing audits to verify patient eligibility, authorization validity, and complete documentation before claim submission.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed