Billing Specialist

• Prepare, review, and accurately submit institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and commercial insurance carriers via electronic submission
• Ensure the correct use of revenue codes on all claims to comply with payer requirements and minimize claim rejections
• Work closely with the Collections team or perform initial follow-up on delayed, short-paid, or denied accounts, providing documentation to facilitate recovery
• Conduct pre-billing audits to verify patient eligibility, authorization validity, and complete documentation before claim submission
• Stay current on federal and state regulations, including PDGM for Home Health and Hospice payment rates, ensuring claims reflect the latest changes

Explore Billing Coordinator at Pennant. Review requirements and application details.