• Oversee collection of past due invoices primarily through phone calls and emails • Research and resolve invoice/payment settlement disconnects, past due invoices, deductions, on account cash, etc. • Research credits for pricing discrepancies and disputes • Resolve queue and general inbox customer inquiries • Build and maintain loyal relationships with customers • Monitor customer delinquency and report material payment delays to the immediate manager • Continually evaluate the processes and systems utilized and prepare well researched recommendations for enhancements • Maintain accurate, organized, and complete customer files that assist in providing superior service to our customers

• Supervising day-to-day activities within Collections to support the team in meeting production goals • Directing and setting team priorities to achieve goals in compliance with federal rules and regulations, payer requirements, and company policies and procedures • Assisting in the development of training strategies and coaching and mentoring team members based on scorecard performance and customer service expectations • Proactively identifying, addressing, and resolving issues that may impact customer satisfaction, cash flow, employee retention, and cost

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.

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. The Insurance Collections Representative is responsible for following up directly with commercial and government payers to resolve billing issues and secure appropriate reimbursement in a timely manner. This individual identifies and analyzes denials and payment variances, then enacts corrective measures as needed to resolve the errors. This role is a remote position supporting a virtual business office. As such, this role requires frequent and effective communication via phone, email, and instant messaging with the various engagement teams. Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required. .  Duties and Responsibilities:  Examines denied and underpaid claims to determine reasons for discrepancies from expected reimbursement  Provides payers with specific reasons for suspected underpayments and analyzes the given denial reasons by payer  Works with management to identify, trend, and address root cause of denials, helps pinpoint strategies for reducing A/R  Effectively handles all communications, including telephone, electronic, and paper correspondence from payers and departments within the business office  Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress  Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliances issues and payer discrepancies  Reports all identified compliance risks to appropriate leadership  Other duties and responsibilities as assigned.  Reporting and Supervision:  The Insurance Collections Representative will report to an HMS Manager Qualifications:  Candidate Requirement:  Current permanent US work authorization required  Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern revenue cycle  Broad Knowledge of Government Programs and Insurance Regulations  May be requested to work overtime and/or weekends to fulfil client requirements  Knowledge, Skill, and Ability Requirements  Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)  Ability to pay close attention to details; strong follow-up and follow-through skills  Requires the use of independent judgment, discretion and decision making abilities  Ability to interact with internal and external customers in a professional manner  Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible  Demonstrates a solid understanding of and adheres to all Huron Healthcare compliance program requirements Work Environment: • This job operates in a professional office environment. • This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands: • This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. The estimated salary range for this job is $19.23-$25.00/hour. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Analyst Country United States of America