Billing Lead

Pennant Services • Nashville, TN

11h

About The Position

The Billing Lea d is responsible f or the daily leadership of the team that handles all billing functions for our home health and hospice services. This is a hands-on leadership role that requires expert knowledge of Medicare, Medicaid, and commercial billing regulations, a commitment to low denial rates, and efficien t accoun ts receivable management . 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.

Requirements

• Minimum of four ( 4 ) years of experience in healthcare medical billing, with at least two ( 2 ) years specifically in h ome h ealth or h ospice billing.
• Minimum of one ( 1 ) year of leadership or supervisory experience managing a billing or accounts receivable team.
• Expert proficiency with a major h ome h ealth or h ospice EMR and Billing system (e.g., HCHB, Kinnser / WellSky , MatrixCare).
• Comprehensive knowledge of ICD-10 coding, CPT codes, and all institutional claim forms (UB-04/CMS-1450).
• Deep understanding of Medicare and Medicaid billing regulations for home health and hospice services.

Nice To Haves

• Associate's or Bachelor's degree in Business , Accounting, Finance, or a related field.
• Certification in Medical Billing and Coding (e.g., CPC, COC).
• Exceptional analytical skills with a strong aptitude for numbers and detailed data analysis.
• Proven ability to troubleshoot complex billing issues and manage high-volume transactional workloads.
• Excellent written and verbal communication skills for effective communication with payers, staff, and management.
• High level of professionalism and integrity with a focus on regulatory compliance.
• Proactive problem-solver with a focus on continuous process improvement.

Responsibilities

• Prepare s , review s , and accurately submit s institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and all commercial insurance carriers via electronic submission.
• Lead s , train s , and mentor s the billing team, setting performance goals, distributing workload, and providing mentorship to optimize accuracy and productivity.
• Oversee s the preparation, review, and compliant electronic submission of all claims (e.g., final claims, RAPs/NOEs, adjustments) to Medicare, Medicaid, and commercial payers.
• Direct s the team’s efforts in daily payment posting, reconciliation, and managing the accounts receivable aging to ensure low DSO (Days Sales Outstanding).
• Implement s and monitor s processes for the prompt research, correction, and resubmission of denied and rejected claims, identifying and addressing root causes to improve first-pass acceptance rates.
• Ensure s all billing practices adhere strictly to CMS (Medicare), state Medicaid, and commercial payer guidelines, maintaining readiness for all internal and external audits.
• Maintain s expert-level knowledge of current billing rules, including the h ome h ealth Patient-Driven Groupings Model (PDGM) and h ospice payment system, ensuring correct revenue codes and payment calculations are used.
• Work s closely with the Intake and Authorization teams to resolve eligibility or authorization-related billing hurdles, and with Clinical Documentation to ensure charts support the services billed.
• Other appropriate services and special projects as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees