Revenue Cycle Portfolio Leader - Provider Services

Pennant Services•Nashville, TN

34d•Hybrid

About The Position

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 three years’ experience in health care billing and collections management, preferably in home health and/or hospice operations.
Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
Demonstrated capability to accurately manage detailed information 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 tactfully and collaboratively with colleagues, peers, service center personnel, referral sources, and payers.
Demonstrates ingenuity, autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities.

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 monitor 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 comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions. When needed, represents and acts on behalf of the agency to resolve conflicts with payers.
Maintains comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and is a resource for appropriate agency personnel.
Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system, including 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 Cluster and Market-level meetings to identify systemic issues in AR practices, workflow, or system configuration and support standardized best practices among agencies.
Monitors aged accounts receivables and related metrics to ensure agencies meet established targets (DSO, Bad Debt, Collection %).
Reviews and approves manual revenue and write-off adjustments 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.
Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.