Leading their Cluster’s operations in providing world-class best practices for billing, cash collections, and accounts receivable functions for the Cluster’s Home Health & Hospice agencies. Collaborating with the Pennant Service Center AR Resource and AR Market Leaders in developing, monitoring, and maintaining those world-class best practices for their Cluster. Partnering with other billers, AR Market Leaders, and Service Center AR Resources within the Home Health & Hospice Segment in shared ownership to ensure a world-class AR function across the organization.

DUTIES & RESPONSIBILITIES

• Creates accountability for billing and collection efforts and procedures for Billers and Billing Managers.
• Provides front-line support to Billers and Billing Managers, including day-to-day questions and issues, agency-specific collections efforts, and active billing when needed; provides tools to monitor processes and issues.
• Provides coverage for billers in the event of short-term or unexpected absences.
• Partners with cluster Executive Directors and/or AR Market Leaders to provide training to Billers and Billing Managers.
• After the training delivery, continue to monitor processes to ensure best practices are followed.
• Establishes and maintains positive and collaborative working relationships with AR Service Center Resources, Billers/Billing Managers, other AR Market Leaders, payors, and referral sources.
• Maintains comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions.
• Represents and acts on behalf of the agency to resolve conflicts with payers.
• Maintains comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and serves as a resource for agency personnel.
• Partners with cluster Executive Directors and/or AR Market Leaders, Billers/Billing Managers in payor projects in a timely manner.
• Monitors and audits for adequate Billing Notes are crucial to providing Audit Trail support to document issues addressed, aid in justifying appeals, and ensure audit compliance.
• Attends Cluster BAM meetings to identify systemic issues in AR practices, workflow, or system configuration and support standardized best practices among agencies.
• Monitors aged accounts receivables and related metrics to ensure agencies meet established targets and actively assists in achieving targets. Reviews manual revenue adjustments for proper documentation and timely submission.
• Assists billers with errors when reconciling cash receipts and bank deposits as needed.
• Ensures that billing and patient account record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal, and accreditation requirements.
• Protects the confidentiality of patient and agency information through effective controls and combined efforts with billing operations.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

• At least three years’ experience in health care billing and collections management, preferably in home health and/or hospice operations and within the Cornerstone Health organization.
• Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
• Demonstrated capability to manage detailed information accurately.
• Able to work tactfully and collaboratively with colleagues, peers, service center personnel, referral sources, and payers.
• Demonstrates ingenuity, autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities.