Billing Specialist – Medi-Cal
Pennant
full-time
Posted on:
Location Type: Remote
Location: Remote • Utah • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
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
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