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Life Changing Service
Billing Specialist
Location
Georgia
Posted
71 days ago
Salary
0
Seniority
Mid Level
Job Description
Billing Specialist
Pennant
• Prepare and submit accurate Medicare, Medicaid, and Commercial insurance claims through H ome C are H ome B ase (HCHB) and Waystar billing platforms. • Ensure compliance with Patient-Drive Groupings Model ( PDGM ) billing rules and payer-specific guidelines. • Monitor, review, and follow up on claims, including aging accounts receivable, denied or rejected claims. • Resubmit overdue accounts and escalate seriously overdue accounts to collections when necessary. • Collaborate with cross-functional teams including Intake, Authorization, Clinical, Operations Support Office ( OSO ), and regional staff to ensure billing accuracy and resolve any discrepancies. • Respond to billing inquiries from internal and external stakeholders. • Participate in A ccounts Receivable (AR) and Billing Accountability Meetings (BAM). • Prepare and review relevant reports such as billing summaries, bad debt , and outstanding AR to ensure accuracy and completeness. • Assist with audits and provide documentation as needed. • Other duties as assigned related to billing and revenue cycle operations.
Job Requirements
- Bachelor’s Degree Business Administration or related field Preferred
- Minimum 2 years of billing experience in Home Health and/or Hospice.
- 2 - 5 years of experience preferably in Home Care
- Strong written and verbal communication skills
- The Billing Specialist must have Home Health and Hospice billing experience.
- Proficiency with HCHB EMR, clearing houses such as DDE and Waystar.
- A strong understanding of Medicare, Medicaid, and commercial insurance billing.
- Excellent organizational, analytical, and communication skills.
- Ability to work independently and manage multiple priorities in a deadline-driven environment.
Benefits
- Health insurance
- Professional development opportunities
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