Revenue Cycle Systems Resource - Payor Setup Specialist

WHO WE ARE

At Pennant, our culture is our competitive advantage. We are a collection of independent, locally led healthcare companies united by a shared purpose and the CAPLICO values—Celebration, Accountability, Passion, Love, Intelligence, Customer Second, and Ownership. We believe great results come from empowered leaders, strong relationships, and people who take ownership of their work.

JOB SUMMARY   

As a highly visible, accessible, and dedicated member of our service team, the primary purpose of this position is to support the RCM Team and field partners in the revenue cycle systems which includes billing, collecting, and recording revenue transactions in the home health and hospice industry.      

DUTIES & RESPONSIBILITIES 

• Support the accounts receivable functions under the supervision of RC Systems Resource Lead.  

• Enhance the agencies’ policies and procedures surrounding the revenue and accounts receivable cycles.    

• Assist agencies in the development and use of accounting policies and procedures and establish rapport in and between departments so that each can realize the importance of accurate reporting procedures.    

• Monitor internal controls to ensure compliance with established procedures related to revenue and accounts receivable.    

• Partner with RC Portfolio Resources with monitoring accounts receivables and developing action plans.    

• Provide Expert knowledge on software systems used in home health, hospice, and home care lines of business. Ability to train staff in software systems and processes.   

• Develop and utilize software reports for AR metrics and trends.  

• Monitor the workflow process within the system and alerting appropriate organizational Resources.    

• Manage time equally between service center projects and field support.    

• Utilizes ticketing software by routing and troubleshooting claim and EMR issues.   

• Manage payor builds and updates for acquisitions, branch expansions, startups, and new contracts.    

• Assist in maintaining payor portals and access to clearing houses.    

• Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the home health and hospice field, as well as to maintain a professional status. 

• Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment.    

• Maintain and demonstrate company culture and values.    

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)   

Staff Development:   

• 2 + years’ experience of accounts receivable experience in Home Health and Hospice lines of business.   

• Experience assisting, training, and supporting business office manager at multiple sites a plus.   

• Experience in the following platforms: Homecare Homebase and Waystar.    

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.