remote Full-time

Pennant Services is hiring a Billing Specialist - Medi-Cal

About the Role

Pennant Services is seeking a Billing Specialist to manage the accurate and timely submission of all Medi-Cal billing, collections, and accounts receivable functions. You will ensure reimbursement through efficient operations and effective A/R management, supporting independent operating subsidiaries from our centralized Service Center.

What You'll Do

  • Provide oversight and approval of claims, audits, and processing, conducting final billing audits.
  • Maintain billing and patient accounts systems in compliance with GAAP, state, federal, and Joint Commission regulations.
  • Maintain a comprehensive working knowledge of payer contracts and bill according to provisions, resolving conflicts on behalf of the agency.
  • Advise management on accepting or declining problematic payers.
  • Serve as a resource on government billing regulations, including Medicare and Medicaid.
  • Monitor aged accounts receivable, resubmit bills, manage collections, and prepare bad debt reports.
  • Gather, collate, and report key billing information and strategize goals with the Executive Leadership Team.
  • Collaborate with the Executive Director to reconcile billing system reports with the general ledger.
  • Reconcile Medicare quarterly reports and prepare the annual Medicare cost report for review.
  • Supervise the use of the billing information system and maintain working knowledge of upgrades.
  • Supervise and reconcile cash receipts and bank deposits per policy.
  • Establish and maintain positive working relationships with patients, families, payers, and referral sources.
  • Protect the confidentiality of patient and agency information through effective controls and supervision.

What We're Looking For

  • Associate's degree in Accounting, Business Administration, or a related field.
  • At least three years’ experience in health care billing and collections management.
  • Billing information systems knowledge.
  • Knowledge of corporate business management, governmental regulations, and Joint Commission standards.
  • Ability to exercise discretion and independent judgment with good communication, negotiation, and public relations skills.
  • Demonstrated capability to accurately manage detailed information.
  • Able to deal tactfully with patients, family members, referral sources, and payers.
  • Demonstrates autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities.

Nice to Have

  • Bachelor’s degree.
  • Experience preferably in home care operations.

Team & Environment

You will support independent operating subsidiaries from the centralized 'Service Center'.

Benefits & Compensation

  • Choice of medical, dental, and vision plans.
  • Retirement savings opportunities through a 401(k) with company match.
  • Daily recognition through Moments of Truth Program.
  • Support for professional growth and development.
  • Wide range of free e-courses through our Learning Management System.
  • Training sessions and seminars.

Work Mode

This is a remote position.

Pennant Services is an equal opportunity employer.

Required Skills
Medi-Cal BillingMedical BillingAccounts ReceivableRevenue Cycle ManagementHIPAA ComplianceExcelMedical TerminologyCommunication SkillsProblem SolvingAttention to Detail
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About company
Pennant Services

Pennant Services supports over 180 home health, hospice, senior living, and home care operations across 14 states. Their Service Center model empowers local leadership while providing centralized clinical, legal, HR, IT, and compliance support to help ensure high-quality care.

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Job Details
Category other
Posted 3 months ago