Revenue Cycle Portfolio Leader - Provider Services

Pennant Services•Nashville, TN

25d•Remote

About The Position

JOB SUMMARY Leading their Market’s operations in providing world-class best practices for billing, cash collections, and accounts receivable functions for the Market’s Home Health & Hospice agencies. Collaborating with the Pennant Service Center AR Resource in developing, monitoring, and maintaining world-class best practices for their Market. Partnering with other RC Portfolio Leaders within the Home Health & Hospice Segment in shared ownership to ensure a world-class AR function across the organization .

Requirements

At least thr e e years’ exper i ence in h e alth ca r e billing and collections mana g eme n t, preferab l y in home healt h and/or hospi c e o p erat i ons .
Ability to exerci s e disc r et i on and independent judgment and demonstr a te good communicat i on , negotiat i on, and public r el a tions skills .
Demon s trat ed capability to accurate l y manage detail e d inform a tion in multiple EMR systems within the home health and hospice industry (HCHB, Well Sky, Waystar, Esolutions , etc ) .
Eclinical Works is required .
Complete competencies of home health and hospice billing requirements within the first 90 days .
Able to work tactful l y and collabor a tively with collea g ues, pee r s, servi c e c enter p ersonnel , referral sources, and payers .
Demon s trates ingenuity, a utonomy, assert i vene s s, flexibility, and cooperat i on in perfo r ming jo b responsibiliti e s .

Responsibilities

Provides front-line support to Billers, Billing Managers, EDs, and other agency staff, including day-to-day AR questions/concerns and acquisition training; provides tools to monitor processes and issues within the revenue cycle.
Train, create, and identify best practices for billing, collection efforts, and procedures for Billers and Billing Managers in the revenue cycle .
Continue to monito r and create accountability.
Partner with Service Center AR Resources to train billers and billing managers.
Establishes and maintains positive and collaborative working relationships with AR Service Center Resources, Billers/Billing Managers, EDs, other agency staff, payors, and referral sources.
Maintains comprehens i ve working knowledge of p a yor c ontra c ts and ensu r es t h at payors a r e billed according to contr a ct p r ov i sions .
When n e eded, rep r esents and act s on b ehalf of the agency to resolve conflicts with p a yers .
Maintains comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and is a resource for appropriate agency personnel.
Supervises the u s e of the billing informat i on system and maintains a compre h e n sive working know l edge of the system, i n cluding upgrades and enhancements.
Monitors and audits for adequate Billing Notes are crucial to providing Audit Trail support to document issues addressed, aid in justifying appeals, and ensure audit compliance.
Attends Clus t er and Market-level meetings to ide n tify systemi c issue s in AR pra c t i ces, wo r kflow, or system configurat i on and s upport standardized best p ractices among age n cies .
Moni t ors aged accounts receivabl e s and rel a ted metr i cs to ensu r e agenc i es meet e s tablished targets (DSO, Bad Debt, Collection %).
Rev i ews and approves ma n ual revenue and write-off adjustmen t s according to internal controls .
Provide support to month-end close procedures, including reconciliation of cash receipts and bank deposits according to policy as needed.
Work with the accounting department on any discrepancies.
Ensures that billing and patient account record systems are maintained per [Text Wrapping Break]with generally accepted accounting principles and in compliance with state, federal, and accreditation requirements.
Prote c ts th e confidentiali t y of pat i ent and a g ency in f ormat i on th r ough eff e ctive c ontro l s and direct supervis i on o f billing oper a tions .