Pennant

Medical Billing and Coding

• Work in eClinicalWorks (ECW) to submit claims, resolve edits/rejections, and keep billing moving
• Post and reconcile payments (ERA/EOB), adjustments, and resolve posting discrepancies
• Manage denials: research root cause, correct issues, submit appeals, and track to resolution
• Own your AR: follow up on unpaid/underpaid claims, prioritize aging, and document actions clearly
• Use payer portals and tools (commercial, Medicare/Medicaid, Availity, Waystar, Noridian, etc.) to check status, pull remits, and resolve payer issues

Medical Billing Specialist

Collections

• Lead, train, and mentor the billing and collections teams
• Oversee preparation, review, and submission of claims to Medicare, Medicaid, and commercial payers
• Direct end-to-end AR management including payment posting, reconciliation, and follow-up activities
• Implement and oversee processes for research, correction, resubmission, and appeal of denied claims
• Develop and execute strategic plans for collecting outstanding balances from various payers
• Serve as primary escalation point for complex payer issues
• Ensure all billing and collections practices adhere to compliance guidelines
• Track, analyze, and report on key revenue cycle metrics
• Work closely with Intake, Authorization, and Clinical Documentation teams

Billing & Collections Lead

Auditor

• Perform internal audits of business operations
• Provide regular updates regarding the status of SOX testing
• Assist with documentation and assessment of in-scope processes, systems, and controls
• Assist with completion of business SOX process documentation and risks & controls matrices
• Assist with documentation of process/control assessments for new acquisitions, service lines, and locations
• Assist with monitoring and reporting on the progress of remediation plans
• Assist with written presentations to management during and at conclusion of an audit
• Build strong individual relationships with external audit team, internal audit, outsourced providers and company leaders
• Assist with special audit projects, as needed

Internal Auditor

Accounting Manager

• Lead all revenue-related accounting for the company’s home health, hospice, and home care services
• Ensure accurate, compliant revenue recognition under U.S. GAAP, ASC 606, CMS rules, and SOX 404
• Oversee end-to-end revenue accounting for Home Health, Hospice, and Home Care programs
• Own ASC 606 technical positions, policies, and revenue models
• Approve monthly revenue entries, reconciliations, and reserves
• Ensure accurate Medicare/Medicaid reporting
• Build and maintain SOX-compliant revenue and billing controls
• Lead and develop the revenue accounting team
• Support M&A due diligence, integrations, and system conversions

Director of Revenue Accounting

Billing Specialist

• Prepare, review, and accurately submit institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and all commercial insurance carriers via electronic submission.
• Post all insurance and patient payments, adjustments, and denials to the correct patient accounts in the EMR system, ensuring timely and accurate reconciliation.
• Ensure the correct use of ICD-10 diagnosis codes and revenue codes on all claims to comply with payer requirements and minimize claim rejections.
• Work closely with the Collections team (or perform initial follow-up) on accounts where payment has been delayed, short-paid, or denied, providing necessary documentation to facilitate recovery.
• Conduct thorough pre-billing audits to verify patient eligibility, authorization validity, and documentation completeness before claim submission.
• Communicate effectively with the accounting department regarding cash receipts, month-end closing procedures, and reporting on key billing metrics.
• Stay current on all federal and state regulations, including the Patient-Driven Groupings Model (PDGM) for Home Health and the Hospice payment rates, ensuring claims reflect the latest changes.

Billing Coordinator

IT Support

• shape the future of Pennant’s technology ecosystem
• lead cloud strategy, networking, unified communications, end-user systems, and all infrastructure operations
• own budgets, cloud cost optimization, and vendor partnerships
• lead and develop directors, managers, and technical teams

VP of IT Infrastructure

Human Resources

• Serve as an HR ambassador across assigned Pinnacle communities, promoting HR resources and championing best practices.
• Partner with community HR/Payroll Representatives to build capability, consistency, and operational HR excellence.
• Coach leaders to foster employee engagement, strengthen retention, and enhance a culture of compassion and service.
• Conduct HR audits and support compliance with federal, state, and senior‑living regulations.
• Provide HRIS support—in Workday -for onboarding, offboarding, recruiting workflows, and reporting.
• Guide pre‑employment processes and state‑specific requirements unique to senior living.
• Support integration efforts for acquisitions or new community transitions.
• Train and onboard new HR/Payroll Representatives at our local communities on systems, standards, and regulatory expectations.
• Advise leaders on employment laws and practices.
• Lead or support employee relations investigations, ADA accommodations, and risk‑mitigating HR strategies.
• Analyze HR metrics (turnover, engagement, ER trends) and recommend data-driven solutions.
• Collaborate with Compliance, Benefits, Payroll, and Legal partners.
• Serve as a cultural champion, modeling Pennant’s CAPLICO core values and commitment to exceptional experiences.

Regional HR Leader

Medical Director

• Engage in immersive, on-the-job training across clinical, operational and administrative management functions
• Shadow department heads and front-line staff to understand the day-to-day rhythm of agency operations, processes, and clinical controls
• Take the lead on real-time projects and contribute to meaningful improvements within your host agency
• Prepare for a Director-level role by mastering staffing, team engagement, and community growth initiatives
• Study relevant state regulations and best practices in home healthcare operations
• Align leadership and interpersonal skills with our CAPLICO core values and mission

CCO In Training, Director of Clinical Services

Financial Planning and Analysis

• Manage and track all IT‑related expenses, including software subscriptions, hardware purchases, vendor invoices, and recurring service fees
• Review, approve, and reconcile IT invoices and expenses to ensure accuracy and budget compliance
• Maintain detailed records of IT spend and assist with monthly, quarterly, and annual budget tracking
• Partner with IT leadership to prepare and monitor the IT budget, including forecasting and variance reporting
• Identify cost‑saving opportunities by analyzing usage, contracts, and vendor pricing, and recommend optimization strategies
• Serve as a primary point of contact for IT vendors related to billing, renewals, and contract administration
• Support IT leadership with reporting, documentation, and presentations related to budgets, expenses, and projects
• Proactively evaluate IT processes, tools, and services to identify inefficiencies or redundant costs
• Participate in special projects that improve IT operations or support broader organizational initiatives

IT Financial and Operations Administrator

Analytics Engineer

• Build and maintain efficient ETL pipelines across EHRs, HRIS, financial systems, and other sources
• Optimize data models for performance and scale
• Ensure data quality through validation and cleansing processes
• Partner with cross‑functional teams to translate business needs into data solutions
• Design scalable Star Schemas aligned with business requirements
• Develop interactive Tableau dashboards and reports for KPIs like turnover, labor costs, and satisfaction scores
• Tailor visualizations for executives, HR, operations, and clinical teams
• Work closely with teams to deliver data solutions that meet their needs
• Communicate technical concepts clearly to technical and non‑technical stakeholders
• Document pipelines, models, and dashboards for maintainability
• Mentor junior engineers and share best practices

Senior Analytics Engineer

Director

• Reviews and evaluates each case by reviewing the services provided by the therapists, including case conferences and documentation review, discusses and verifies impressions, instructs and guides therapists to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist therapists as appropriate.
• Assists therapists in establishing immediate and long-term rehabilitation goals, in setting priorities, and in developing plan of care.
• Assists therapists in overseeing assignment and supervision of therapy assistants.
• Attends case conference meetings with organization personnel to facilitate coordination of care.
• Conducts quarterly record reviews and communicates findings and recommendations to Director of Nursing and appropriate organization personnel.
• Completes on-site supervisory visits as necessary.
• Maintain accountability for therapy staff productivity, utilization and documentation standards.
• Assists in the screening and interviewing process of new organization personnel and makes recommendations for employment of individuals.
• Assists in the orientation of new therapy personnel.
• Assists Director of Nursing in the planning, implementation and evaluation of in-service and continuing education programs.
• Assists in the formulation, revision, implementation, and evaluation of policies and procedures, as well as strategic goals and objectives.
• Complies with accepted professional standards and principles.
• Follow written and oral instructions.
• Maintain patience, tact, cheerful disposition and enthusiasm.
• Must comply with all training requirements.

Director of Rehabilitation

• Lead and advance the organization’s wound care program across various settings
• Provide clinical leadership, provider education, and quality oversight
• Establish evidence‑based standards and protocols
• Mentor and oversee wound care providers and clinical staff
• Act as the escalation point for complex cases
• Ensure compliance with CMS and payer requirements
• Lead ongoing education on wound assessment and treatment
• Support development and scaling of wound programs across care settings
• Monitor wound care quality metrics and outcomes

Director, Clinical Services – Wound Care

Manager

• Lead and manage the Managed Care Credentialing Team
• Ensure full compliance with policies, regulations, and accreditation standards
• Serve as the main contact with managed care organizations
• Verify requirements, submission processes, and updates
• Ensure accurate, timely completion and submission of all credentialing and re-credentialing applications
• Coordinate with Legal, Licensing, Accounts Receivable, and Payor Admin to gather required documentation
• Maintain a comprehensive database of credentialing documents
• Professionally represent the organization to managed care plans and partners
• Support special contracting projects as assigned
• Perform additional job-related tasks as needed

Manager – Managed Care Credentialing

Medical writer

• Conduct detailed home health and hospice pre-billing reviews to support Portfolio partners and their agencies.
• Identify discrepancies, missing information, and opportunities for documentation improvement.
• Utilize information gathered to provide education and facilitate alterations to the HCHB documentation, and process improvements to prevent recurrence.
• Direct agencies to use documentation data outcomes for QA improvements.
• Ensure documentation accurately reflects the patient’s clinical status and the care provided.
• Set up meetings with clinical leaders to provide education, highlight findings, and make documentation recommendations.
• Stay current with practices in both home health and hospice fields and suggest educational and resource materials which would be beneficial to the staff.
• Recommend new approaches to on-going continued improvements to policies, procedures, and documentation.
• Identify trending issues and share them with the team and the clinical leaders.
• Stay up to date with all federal, state, and local regulations, as well as organizational policies and procedures to ensure compliance.
• Work within and be comfortable with HCHB, PDF-Xchange, Excel, and Smartsheet.
• Consistently promote CAPLICO.
• Serve as the first point of escalation for documentation review questions.
• Provide real-time guidance on documentation standards, interpretation, and expectations.
• Reinforce consistency in review methodology across all reviewers.
• Hold team alignment meetings to discuss review findings and ensure standardization.
• Support onboarding and mentoring of new documentation reviewers.
• Identify training gaps and recommend targeted education.
• Monitor review quality and provide constructive feedback to promote defensible documentation practices.
• Track common documentation deficiencies and trends and share with leadership.
• Escalate systemic issues to the Director with recommended solutions.
• Assist with workload balance and prioritization when needed.
• Monitor turnaround times and flag potential deadline risks.
• Reinforce accountability while maintaining a positive and collaborative team culture.

Medical Billing Specialist

Billing & Collections Lead

Internal Auditor

Director of Revenue Accounting

Billing Coordinator

VP of IT Infrastructure

Regional HR Leader

CCO In Training, Director of Clinical Services

IT Financial and Operations Administrator

Senior Analytics Engineer

Director of Rehabilitation

Director, Clinical Services – Wound Care

Manager – Managed Care Credentialing

Regional HR Leader

Clinical Documentation Review Team Lead