Billing Specialist – Medi-Cal
Pennant
full-time
Posted on:
Location Type: Remote
Location: Utah • United States
Visit company websiteExplore more
About the role
- Responsible for managing accurate, timely completion and submission of all billing, collections, and accounts receivable functions
- 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 the pre-billing team when findings require further documentation
- Ensures that billing and patient accounts record systems are maintained following generally accepted accounting principles and in compliance with state, federal, and Joint Commission regulations
- Maintains a comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions
- Represents and acts on behalf of the agency in resolving conflicts with payers
- Advises the manager in matters of accepting/declining problematic payers
- Maintains a comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and serves as a resource for appropriate agency personnel
- Monitors aged accounts receivable and resubmits 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 the billing team
- Works with the Executive Leadership Team in strategizing monthly, quarterly, and annual goals for optimized billing efficiency
- Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger
- Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system, and prepares the annual Medicare cost report for Executive Director review
- Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements
- Supervises and reconciles cash receipts and bank deposits according to policy
- 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
Requirements
- Associate's degree in Accounting, Business Administration, or related field, Bachelor’s degree preferred
- At least three years’ experience in health care billing and collections management, preferably in home care operations
- Billing information systems knowledge is required
- Knowledge of corporate business management, governmental regulations, and Joint Commission standards
- Ability to exercise discretion and independent judgment and demonstrate 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, assertiveness, flexibility, and cooperation in performing job responsibilities
Benefits
- Health insurance
- Dental and vision plans
- 401(k) company match
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billing managementcollections managementaccounts receivable managementbilling auditsfinancial reportingMedicare regulationsMedicaid regulationsgovernment billing regulationsdata managementcontract compliance
Soft Skills
communication skillsnegotiation skillspublic relations skillsdiscretionindependent judgmenttactfulnessautonomyassertivenessflexibilitycooperation
Certifications
Associate's degree in AccountingBachelor’s degree in Accounting or Business Administration