Pennant Services is hiring a Billing Specialist to manage the complete billing process for our home health and hospice services. You will ensure timely claim submission, resolve discrepancies, and support revenue cycle operations to optimize reimbursement and maintain compliance.
What You'll Do
- Prepare and submit accurate Medicare, Medicaid, and Commercial insurance claims through Home Care Home Base (HCHB) and Waystar billing platforms.
- Ensure compliance with Patient-Driven Groupings Model (PDGM) billing rules and payer-specific guidelines.
- Monitor, review, and follow up on claims, including aging accounts receivable and 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.
- Respond to billing inquiries from internal and external stakeholders.
- Participate in Accounts Receivable (AR) and Billing Accountability Meetings (BAM).
- Prepare and review relevant reports such as billing summaries, bad debt, and outstanding AR.
- Assist with audits and provide documentation as needed.
- Perform other duties as assigned related to billing and revenue cycle operations.
What We're Looking For
- Minimum 2 years of billing experience in Home Health and/or Hospice.
- 2-5 years of experience, preferably in Home Care.
- A strong understanding of Medicare, Medicaid, and commercial insurance billing.
- Proficiency with HCHB EMR and clearinghouses such as DDE and Waystar.
- Excellent organizational, analytical, and communication skills.
- Ability to work independently and manage multiple priorities in a deadline-driven environment.
- Strong written and verbal communication skills.
Nice to Have
- Bachelor’s Degree in Business Administration or a related field.
Technical Stack
- Home Care Home Base (HCHB) EMR
- Waystar billing platform
- DDE clearinghouse
Pennant Services is an equal opportunity employer.
