The Pennant Group

Role Description Join Pennant’s dynamic insurance authorization team as the Insurance Authorization Coordinator! We are looking for an exceptional team player to orchestrate the crucial function of securing timely and accurate insurance authorizations for our patients. Your expertise will be key to ensuring uninterrupted care and optimizing our financial health. You will be responsible for all aspects of payer authorization. This role demands deep knowledge of payer requirements, strong ownership skills, and meticulous attention to detail to ensure every patient's services are appropriately covered from admission through discharge. Key Responsibilities - Initial Authorization: Oversee the timely and accurate submission and tracking of all initial insurance authorization requests for home health and hospice patients. - Collaboration and Communication: Work closely and effectively with the scheduling teams to coordinate start of care and ensure clinical services are only delivered after authorization is confirmed. - 485 and Add-On Authorization: Direct the process for obtaining authorization following the 485 (Plan of Care) submission and managing all add-on insurance authorizations when required for changes in the patient's plan of care (e.g., increased visits, new services). - Ongoing Eligibility Management: Establish and monitor the process for the team to re-verify eligibility on the 1st and 5th of each month for all active patients to proactively identify and resolve any changes in insurance status. - Payer Relations: Serve as the escalation point for complex authorization denials or issues, communicating directly with various insurance carriers. - Compliance and Reporting: Ensure all authorization processes are compliant with payer contracts and regulatory standards. Generate reports on authorization status, denial rates, and turnaround times. Qualifications - Minimum of 3 years of dedicated experience in insurance verification and authorization, specifically within Home Health or Hospice. - Expert knowledge of Medicare, Medicaid, and commercial insurance authorization processes and documentation requirements for episodic and per diem payments. - Proficiency in using electronic medical record (EMR) systems and authorization tracking software. - Associate's or Bachelor's degree in Business, Finance, Healthcare Administration, or a related field (preferred). - Experience with utilization review and appeals processes (preferred). Skills and Competencies - Superior analytical and organizational skills with an unwavering attention to detail. - Exceptional ability to navigate complex payer portals and communication channels. - Excellent interpersonal skills for effective collaboration with clinical and scheduling staff. - Proven ability to lead a team in a high-volume, deadline-driven environment. - Strong commitment to regulatory compliance and ethical billing practices. Company Description The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees, and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com .

Role Description Join Synergy’s dynamic Revenue Cycle team as the Prior Authorization Lead. We are seeking a Tennessee-based subject matter expert with deep knowledge of Tennessee home health payors to ensure the quality, accuracy, and compliance of authorization decisions. This role provides experienced oversight of authorization workflows, supports frontline teams through quality review and guidance, and helps protect agencies from preventable denials and revenue risk—while also stepping in to design, refine, and execute workflows as needed. The Prior Authorization Lead is responsible for quality oversight and workflow leadership of prior authorization activities for Tennessee Home Health payors. This role serves as the expert reviewer, escalation resource, and workflow owner, validating authorization work performed by teams, identifying risk, and ensuring payer-specific requirements are consistently and accurately applied. The position requires extensive Tennessee payer expertise, prior leadership experience, and the ability to both guide teams and personally step into workflow execution when needed. Key Responsibilities - Authorization Quality Oversight & Review - Perform quality reviews of prior authorization submissions and determinations for Tennessee home health payors. - Validate that authorizations align with payer requirements, clinical documentation, and plans of care. - Identify errors, gaps, or risk conditions that could lead to denials or delayed reimbursement. - Serve as the final quality checkpoint for complex, high-risk, or escalated authorization cases. - Workflow Ownership & Execution - Own prior authorization workflows for Tennessee home health payors, ensuring processes are clear, effective, and consistently applied. - Design, refine, and document workflows to support timely and accurate authorization decisions. - Step directly into authorization workflow execution as needed to support coverage, backlog reduction, or complex cases. - Translate payer requirements into practical, actionable workflows for frontline teams. - Tennessee Payor Expertise & Interpretation - Serve as the organization’s subject matter expert on Tennessee home health payors and authorization rules. - Maintain advanced knowledge of Tennessee Medicaid (TennCare), Medicare Advantage, and commercial payors, including but not limited to TennCare MCOs, UnitedHealthcare, Humana, and Blue Cross Blue Shield. - Interpret payer guidance and ensure consistent application across teams and agencies. - Proactively monitor payer policy changes and assess operational and financial impact. - Team Support, Coaching & Calibration - Provide real-time guidance and feedback to authorization teams to improve accuracy and consistency. - Partner with authorization leaders to calibrate standards and resolve recurring quality issues. - Support onboarding and training by reinforcing Tennessee-specific authorization expectations. - Share best practices and workflow updates to strengthen team performance and first-pass accuracy. - Cross Functional Collaboration - Collaborate closely with intake, clinical leadership, and case management teams to ensure authorization requirements are met prior to service delivery. - Ensure authorization approvals, limitations, and visit parameters are clearly communicated to clinical teams. - Partner with billing and collections teams to mitigate authorization-related denials and appeals. - Performance Monitoring & Continuous Improvement - Track quality trends, workflow gaps, and authorization-related denial drivers. - Identify systemic risks and recommend workflow or process improvements. - Support audits, payer reviews, and internal compliance initiatives as needed. - Provide concise reporting on quality outcomes, risks, and payer-specific trends. Qualifications - Must reside in the state of Tennessee. - Minimum of 5+ years of experience in home health prior authorization with Tennessee payors. - Expert-level knowledge of Tennessee Medicaid (TennCare), Medicare Advantage, and commercial authorization requirements. - Prior experience leading, mentoring, or overseeing teams performing authorization work. - Strong understanding of how authorization requirements align with home health plans of care. - Ability to design, implement, and step into authorization workflows as needed. - Excellent analytical, communication, and clinical interpretation skills. Company Description The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees, and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com .

Role Description The Recruiting Coordinator is responsible for supporting the Recruiting Department, coordinating recruiting efforts such as: - Posting jobs - Creating job requisitions - Screening resumes - Scheduling interviews - Having initial calls with potential candidates - Onboarding candidates Supporting the Synergy Recruiter in streamlining all agency and Synergy Shared Services recruiting, onboarding processes, and department organization. The Coordinator accelerates the department’s efforts by demonstrating the CAPLICO values, particularly Accountability and Ownership. Essential responsibilities and duties include but are not limited to the following: - Posts and reviews all job postings as directed by Recruiters, Hiring Managers and/or Market/Portfolio leaders. - Works with Hiring Managers to create attractive and enticing job posts for job boards to attract top talent. - Reviews resumes through job board sources and initiates initial screening calls with candidates to cover our model and culture and determine potential fit. - Schedules and tracks attendance for interviews, and tracks candidates through the interview process. - Follows up with Hiring Managers to obtain feedback to ensure candidates continue to move through the process in a timely manner. - Works with Recruiters, HR team, Agency staff and candidates to ensure offer letters and onboarding items are completed. - All other duties as assigned. Qualifications - At least one (1) year of experience as an Administrative Assistant or similar role, required. - At least one (1) year of experience in recruiting or recruiting coordination or onboarding, preferred. - Effective communication skills, both verbal and written. - Detail-oriented and able to manage multiple priorities. - Self-motivated; able to work independently with minimal oversight while collaborating as part of a team. - Strong organizational skills and ability to be flexible and innovative as needed. - Ability to demonstrate and communicate company’s CAPLICO Core Values. Requirements - None Benefits - None Company Description The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com .

Role Description Join Synergy’s dynamic billing team as a Billing Coordinator! We are seeking a highly organized and detail-oriented individual to manage our billing functions. Your precision and expertise will be vital in optimizing our reimbursement and supporting the financial stability of our essential patient services. The Billing Coordinator is responsible for performing all billing functions for the agency, ensuring claims are submitted accurately and on time to all payers. This role is crucial for revenue cycle success and requires deep knowledge of complex home health and hospice billing rules. Key Responsibilities - Claim Preparation and Submission: Prepare, review, and accurately submit institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and all commercial insurance carriers via electronic submission. - Billing and Compliance: Ensure the correct use of revenue codes on all claims to comply with payer requirements and minimize claim rejections. - Accounts Receivable (AR) Support: 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. - Pre-Billing Review: Conduct thorough pre-billing audits to verify patient eligibility, authorization validity, and complete documentation before claim submission. - Regulatory Knowledge: 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. Qualifications - Minimum of 1 year of dedicated experience in medical billing and claims submission, with a strong preference for experience in Home Health or Hospice billing. - Proven ability to submit and manage claims to Medicare, Medicaid, and commercial insurance. - Proficiency in navigating an Electronic Medical Record (EMR) and billing system and utilizing clearinghouses for electronic claim submission. - Solid working knowledge of revenue codes related to home health and hospice services. Skills and Competencies - Exceptional attention to detail and commitment to 100% claim accuracy. - Strong analytical and mathematical skills for reconciliation and payment posting. - Excellent organizational skills and the ability to manage high-volume submission deadlines. - Proactive and persistent approach to resolving billing edits and rejections. - Strong ethical commitment to compliance and accurate financial reporting. Company Description The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees, and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com .

Join Synergy’s dynamic collections team as a Collections Coordinator! We're looking for a sharp, results-driven individual to actively manage our outstanding accounts and secure vital payments. Your commitment to detail and effective follow-up will directly impact our agency’s ability to provide continuous patient care. About the Role The Collections Coordinator is responsible for performing all collections functions after claims have been submitted and processed. This role involves proactive follow-up with payers, meticulous denial management, and accurate account reconciliation to maintain a healthy accounts receivable (AR). Key Responsibilities - Payer Follow-up: Execute targeted follow-up on outstanding accounts with Medicare, Medicaid, and commercial carriers based on AR aging reports to facilitate timely payment. - Denial Management: Thoroughly research the cause of payment denials (e.g., lack of authorization, documentation errors, untimely filing) and execute the necessary steps for resolution, correction, and resubmission or appeal. - Appeals Processing: Prepare and submit formal appeals for denied claims, gathering required documentation (clinical and administrative) to overturn the payer's initial decision. - Payment Reconciliation: Accurately reconcile posted payments with expected reimbursement, identifying discrepancies and contractual short-pays that require further follow-up. - Self-Pay Collections: Manage the patient portion of collections, including generating and mailing statements, and communicating with patients regarding payment plans in a professional and compliant manner. - Documentation: Document all collection activities, communications with payers, and status updates on the patient's account within the EMR system clearly and accurately. - Trend Identification: Report on common denial codes and collection roadblocks to the Billing Lead or Director of RCM to help identify and resolve upstream process issues. Qualifications Required: - Minimum of 1 year of experience in medical collections, accounts receivable follow-up, or denial appeals, with experience in Home Health or Hospice preferred. - Solid working knowledge of reading and interpreting EOBs (Explanation of Benefits), RAs (Remittance Advices), and payer correspondence. - Proven ability to submit claims and track payment status through payer portals and a dedicated EMR system. - Familiarity with the Medicare appeals process (e.g., Redetermination). Skills and Competencies - Exceptional detail orientation and analytical skills for denial research. - Strong organizational skills and the ability to manage a large backlog of accounts. - Excellent verbal and written communication skills for persistent yet professional payer interaction. - Highly motivated, persistent, and results-oriented to meet collection goals. - Commitment to compliance and ethical collection practices. If you are a resourceful coordinator ready to take on the challenge of optimizing our cash flow, apply to be our Collections Coordinator today! The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Role Description Join Synergy’s dynamic collections team as a Collections Coordinator! We're looking for a sharp, results-driven individual to actively manage our outstanding accounts and secure vital payments. Your commitment to detail and effective follow-up will directly impact our agency’s ability to provide continuous patient care. The Collections Coordinator is responsible for performing all collections functions after claims have been submitted and processed. This role involves proactive follow-up with payers, meticulous denial management, and accurate account reconciliation to maintain a healthy accounts receivable (AR). Key Responsibilities - Payer Follow-up: Execute targeted follow-up on outstanding accounts with Medicare, Medicaid, and commercial carriers based on AR aging reports to facilitate timely payment. - Denial Management: Thoroughly research the cause of payment denials (e.g., lack of authorization, documentation errors, untimely filing) and execute the necessary steps for resolution, correction, and resubmission or appeal. - Appeals Processing: Prepare and submit formal appeals for denied claims, gathering required documentation (clinical and administrative) to overturn the payer's initial decision. - Payment Reconciliation: Accurately reconcile posted payments with expected reimbursement, identifying discrepancies and contractual short-pays that require further follow-up. - Self-Pay Collections: Manage the patient portion of collections, including generating and mailing statements, and communicating with patients regarding payment plans in a professional and compliant manner. - Documentation: Document all collection activities, communications with payers, and status updates on the patient's account within the EMR system clearly and accurately. - Trend Identification: Report on common denial codes and collection roadblocks to the Billing Lead or Director of RCM to help identify and resolve upstream process issues. Qualifications - Minimum of 1 year of experience in medical collections, accounts receivable follow-up, or denial appeals, with experience in Home Health or Hospice preferred. - Solid working knowledge of reading and interpreting EOBs (Explanation of Benefits), RAs (Remittance Advices), and payer correspondence. - Proven ability to submit claims and track payment status through payer portals and a dedicated EMR system. - Familiarity with the Medicare appeals process (e.g., Redetermination). Skills and Competencies - Exceptional detail orientation and analytical skills for denial research. - Strong organizational skills and the ability to manage a large backlog of accounts. - Excellent verbal and written communication skills for persistent yet professional payer interaction. - Highly motivated, persistent, and results-oriented to meet collection goals. - Commitment to compliance and ethical collection practices. Company Description The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com .

OASIS Reviewer Join Synergy’s dynamic clinical quality and data integrity team as an OASIS Reviewer supporting Home Health agencies. We are seeking a detail oriented, analytically strong professional with deep knowledge of OASIS requirements to ensure the accuracy, consistency, and regulatory compliance of OASIS documentation. This role plays a critical part in safeguarding data integrity, supporting appropriate reimbursement, and strengthening quality outcomes across the organization. About the Role The OASIS Reviewer is responsible for the prospective review of OASIS assessments to ensure accuracy, completeness, and compliance with federal and state regulations, as well as agency policy. Working under the direction of the Coding and OASIS Manager and in close collaboration with agency clinical teams, this role serves as a key quality checkpoint in the home health documentation process. The position requires strong regulatory knowledge, clinical insight, and the ability to collaborate effectively with clinicians to resolve data integrity issues. Key Responsibilities OASIS Review & Data Integrity • Prospectively review all OASIS assessments to ensure appropriateness, completeness, and regulatory compliance. • Evaluate OASIS data for internal consistency, accuracy, and alignment with patient condition and care delivery. • Utilize OASIS variation, validation, or alert reports to identify potential data integrity concerns. • Ensure documentation supports accurate clinical representation and compliant reimbursement. Clinical Collaboration & Issue Resolution • Partner with clinicians and agency staff to clarify documentation discrepancies or data integrity issues. • Provide guidance to clinicians on appropriate corrections in accordance with agency policy and regulatory standards. • Support education and reinforcement of best practices related to OASIS completion and assessment accuracy. Utilization & Financial Impact Review • Review visit utilization for alignment with patient condition, plan of care, and clinical guidelines. • Identify and report potential underutilization, overutilization, or financial risk to the Coding and OASIS Manager, Clinical Manager, or designee. • Escalate trends that may impact reimbursement, outcomes, or compliance. Quality Improvement & Compliance Support • Identify and communicate problematic trends or recurring issues identified through OASIS review. • Participate in Quality Improvement and Corporate Compliance initiatives as assigned. • Assist with additional chart audits or documentation reviews as needed. Professional Development & Organizational Values • Maintain current knowledge of OASIS standards, regulatory changes, and industry best practices. • Participate in ongoing education through workshops, training, and professional publications. • Demonstrate and uphold CAPLICO values in all interactions and work practices. • Perform other duties and special projects as assigned. Qualifications Required • Working knowledge of the OASIS data set and assessment process. • Strong understanding of federal regulations and state licensure requirements for home health. • Knowledge of the legal and regulatory framework governing the home health industry. • Ability to work independently while maintaining strong collaboration with interdisciplinary teams. • Excellent written and verbal communication skills. • Strong computer proficiency, including Microsoft Outlook and agency documentation systems. • Valid driver’s license, vehicle insurance, and access to reliable transportation or public transportation. Preferred • At least two (2) years of home health clinical, coding, or billing experience. • OASIS certification (COS-C). Skills and Competencies • Strong attention to detail and data integrity focus • Regulatory and compliance expertise in home health • Analytical thinking and issue identification • Clear, professional communication with clinical teams • Ability to influence documentation quality without direct authority • Strong organizational and time management skills • Commitment to quality improvement and compliance excellence If you are a detail driven professional who values accuracy, regulatory integrity, and high quality clinical documentation, we invite you to apply for the OASIS Reviewer role! The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Role Description Join Synergy’s dynamic intake team as the Intake Lead! We're seeking a detail-oriented and experienced leader to lead our intake team. In this role, you'll ensure a seamless, compliant, and effective transition for patients entering our home health and hospice services. Your leadership will directly impact our ability to provide timely, compassionate care to those in need. The Intake Lead is responsible for overseeing and directing the team that manages all steps of the patient intake process. This includes maintaining the highest levels of accuracy, effectiveness, and communication to ensure every patient is properly vetted and documented for service. Key Responsibilities - Team Leadership and Management: Lead and mentor the intake team, providing training and performance feedback to ensure optimal coverage and productivity. - Referral Optimization: Provide feedback and insight to improve and maintain robust processes for referral reception from various sources (hospitals, physicians, facilities, etc.) and ensure timely, accurate data entry. - EMR System Oversight: Supervise the accurate and complete creation of the patient shell and initial records within the Homecare Homebase (HCHB) EMR system. - Eligibility and Compliance: Oversee the thorough process of checking patient eligibility for home health or hospice services according to regulatory and payer guidelines, ensuring all patients meet the requirements for home health or hospice. - Financial Vetting: Direct the team on prompt and accurate insurance verification and benefit checks for all potential patients. - Insurance Authorization: Ensure the timely and correct requesting of initial insurance authorization and tracking until approval is secured. - Process Improvement: Identify and implement improvements to the intake workflow to increase effectiveness, reduce errors, and enhance the overall patient experience. - Reporting: Track and report on key intake metrics, referral sources, and turnaround times to leadership. Qualifications - Minimum of 3 years of experience in healthcare intake, admissions, or patient access, preferably in Home Health or Hospice. - Minimum of 1 year of leadership or supervisory experience managing a team. - Proven expertise with the Homecare Homebase (HCHB) EMR system. - Deep knowledge of Medicare, Medicaid, and commercial insurance requirements for home health and hospice eligibility and authorization. - Strong understanding of medical terminology, documentation standards, and regulatory compliance. Requirements - Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field (preferred). - Certifications related to healthcare access or revenue cycle (preferred). Skills and Competencies - Exceptional attention to detail and organizational skills. - Strong analytical and problem-solving abilities. - Excellent verbal and written communication skills. - Ability to thrive in a fast-paced environment and manage competing priorities. - A compassionate and professional approach to team and patient interactions.

Role Description We are seeking a results-driven and experienced Revenue Cycle Manager to lead and optimize our Home Health and Hospice financial operations. This pivotal role is responsible for the day-to-day leadership and strategic direction of five core revenue cycle teams: - Intake - Insurance Authorization - Medical Records - Billing - Collections As Revenue Cycle Manager, you will be the operational backbone of our financial workflow, ensuring that each team functions cohesively and efficiently. You’ll be instrumental in driving performance, improving processes, and ensuring compliance across the entire revenue cycle continuum. Key Responsibilities - Team Leadership: Directly lead and mentor the Intake, Insurance Authorization, Medical Records, Billing, and Collections teams. Foster a culture of accountability, collaboration, and continuous improvement. - Process Optimization: Identify and implement strategies to streamline workflows, reduce claim denials, and accelerate cash collections. - Performance Leadership: Establish and monitor KPIs across all revenue cycle functions. Use data analytics to drive informed decisions and improve financial outcomes. - Regulatory Compliance: Ensure all processes align with federal, state, and payer-specific regulations, including Medicare and Medicaid guidelines. - Cross-Functional Collaboration: Work closely with clinical, finance, and IT departments to align operational goals and support exceptional patient care. - Revenue Integrity: Oversee timely and accurate billing, collections, and write-off processes. Ensure proper documentation and reporting of bad debt in accordance with company policy. Qualifications - Experience: Minimum of 5 years in revenue cycle management, with at least 2 years in a supervisory or managerial role within home health and/or hospice settings. - Knowledge: Understanding of the full revenue cycle, including intake, authorization, documentation, with deep knowledge of billing, and collections. - Technical Expertise: Proficiency in EMR and RCM platforms used in post-acute care. Experience with Homecare Homebase (HCHB) and Waystar is highly preferred. - Skills: Strong leadership, communication, and analytical skills. Proven ability to lead teams, manage change, and drive performance. - Education: Bachelor’s degree in Healthcare Administration, Business, or related field preferred. Master’s degree or certifications such as CHFP or CPAM are a plus. Company Description The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees, and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com .

Join Synergy’s dynamic revenue cycle team as a Billing & Collections Coordinator dedicated exclusively to Hospice services. We are seeking a highly organized, detail oriented professional who can own the full lifecycle of hospice billing and collections—from accurate claim submission through proactive follow up and resolution. Your work will directly support timely reimbursement, financial stability, and the agency’s ability to deliver compassionate end of life care. About the Role The Billing & Collections Coordinator is responsible for end‑to‑end hospice billing and accounts receivable activities. This role ensures hospice claims are prepared, submitted, and paid accurately and timely, while actively managing outstanding balances, denials, and appeals. The position requires strong knowledge of hospice billing rules, payer requirements, and persistent but professional follow up to maintain a healthy A/R and compliant revenue cycle. Key Responsibilities Hospice Billing & Claim Submission • Prepare, review, and submit accurate hospice claims (UB‑04 / CMS‑1450) to Medicare, Medicaid, and commercial payers. • Ensure correct use of revenue codes, levels of care, and billing periods in accordance with hospice regulations. • Conduct thorough pre‑billing reviews to verify eligibility, certification periods, elections, and required documentation. • Monitor claim status through EMR systems, clearinghouses, and payer portals to ensure timely acceptance and processing. Accounts Receivable & Payer Follow Up • Actively manage hospice A/R by performing targeted follow up on unpaid or delayed claims based on aging reports. • Follow up with Medicare, Medicaid, and commercial payers to resolve payment delays and secure reimbursement. • Reconcile posted payments against expected reimbursement and identify underpayments or discrepancies requiring action. Denial Management & Appeals • Research hospice claim denials to determine root cause, including authorization, documentation, coding, or timely filing issues. • Correct, resubmit, or appeal denied claims in accordance with payer guidelines and hospice regulations. • Prepare and submit formal appeals with supporting clinical and administrative documentation as required. • Track appeal outcomes and adjust workflows to prevent repeat denials. Self‑Pay & Balance Resolution • Manage patient responsibility balances in compliance with hospice regulations and ethical collection practices. • Generate statements and communicate with patients or responsible parties regarding balances or payment arrangements when applicable. Documentation, Reporting & Continuous Improvement • Document all billing and collection activity clearly and accurately within the EMR in real time. • Identify trends in denials, delays, or payer issues and report findings to billing leadership. • Collaborate with intake, clinical, and compliance teams to address upstream issues impacting reimbursement. Qualifications Required • Minimum of 1 year of experience in medical billing, hospice billing, collections, or accounts receivable follow up. • Working knowledge of hospice billing rules, payment structures, and payer requirements. • Ability to read and interpret EOBs, RAs, and payer correspondence. • Experience submitting and tracking claims through an EMR system and payer portals. • Strong analytical, organizational, and time management skills. • Excellent written and verbal communication skills. Preferred • Prior experience billing or collecting hospice claims exclusively. • Familiarity with hospice denial appeals and Medicare hospice payment methodology. • Experience working in a shared services or multi‑agency environment. Skills and Competencies • High attention to detail and claim accuracy • Strong follow up and resolution skills • Analytical approach to denial and payment issues • Professional, persistent payer communication • Commitment to compliance and ethical billing practices • Ability to manage multiple priorities in a deadline driven environment If you are a detail driven revenue cycle professional who values accuracy, follow through, and supporting compassionate hospice care, we invite you to apply for the Billing & Collections Coordinator role with Synergy. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.