Billing & Collections Lead

Join

Synergy’s

dynamic revenue cycle team as the

Billing and Collections Lead

• ! We are
• seeking
• an experienced, detail-oriented, and results-driven leader to oversee both billing and
• collections
• operations for our home health and hospice services. This role is critical to
• ensuring
• accurate ,
• timely , and compliant reimbursement while driving down outstanding accounts receivable to support our agency’s mission and patient care.

About the Role

The Billing and Collections Lead

• is responsible for
• the daily leadership of the teams managing all billing and post-billing collections functions. This hands-on leadership role requires expert knowledge of Medicare, Medicaid, and commercial payer regulations, strong denial and appeals
• expertise , and a strategic approach to accounts receivable management. The ideal candidate will balance precision in billing with assertiveness in collections to
• optimize
• cash flow and minimize denials and
• bad debt .

Key Responsibilities

Team Leadership and Management

• Lead, train, and mentor the billing and collections teams,
• setting
• performance goals, distributing workload, defining daily workflow, and providing coaching to ensure accuracy, productivity, and compliance across all functions.

Claim Submission and Billing Oversight

• Oversee the preparation, review, and compliant electronic submission of all claims (e.g., RAPs/NOEs, final claims, adjustments) to Medicare, Medicaid, and commercial payers, ensuring
• timely
• and
• accurate
• billing.

Accounts Receivable (AR) Management

Direct end-to-end AR management, including payment posting, reconciliation, aging review, and follow-up activities, with a focus on reducing DSO and prioritizing the oldest and highest-dollar accounts.

Denial, Rejection, and Appeal Management

• Implement and oversee processes for
• the prompt
• research, correction, resubmission, and appeal of denied or rejected claims. Ensure all appeals are supported with complete and
• accurate
• documentation and address root causes to improve first-pass acceptance rates.

Collections Strategy and Execution

Develop and execute strategic plans for collecting outstanding balances from Medicare, Medicaid, commercial payers, and self-pay patients, using a compliant,

streamlined , and results-oriented approach.

Payer and Patient Communication

Serve as the primary escalation point for complex payer issues, negotiating resolution of systemic payment discrepancies. Oversee patient financial counseling and self-pay collections, ensuring all communication is professional, empathetic, and compliant with FDCPA guidelines.

Compliance and Audit Readiness

Ensure all billing and

• collections
• practices adhere strictly to CMS, state Medicaid, and commercial payer requirements,
• maintaining
• readiness for internal and external audits.

Reporting and Analysis

• Track, analyze, and report on key revenue cycle metrics, including denial rates, collection effectiveness, AR aging, and payer trends. Use data insights to
• identify
• opportunities for process improvement and upstream collaboration.

Interdepartmental Collaboration

• Work closely with Intake, Authorization, and Clinical Documentation teams to resolve eligibility, authorization, or documentation issues that impact billing and
• collections
• outcomes.

Qualifications

Required

Minimum of 3 years of experience in

healthcare billing and/or collections , with

Home Health or Hospice experience strongly preferred
.

Minimum of 1 year of leadership or supervisory experience managing billing, collections, or

accounts

receivable teams.

Deep understanding of

Medicare and Medicaid billing and appeals processes
.

Proven ability to interpret EOBs, remittance

advi ce , payer contracts, and denial reasons.

Proficiency

• with major Home Health or Hospice EMR and billing systems (e.g., HCHB,
• WellSky / Kinnser , MatrixCare).
• Comprehensive knowledge of ICD-10 coding, institutional claim forms (UB-04/CMS-1450), and payer billing rules.

Preferred

Associate’s

or

Bachelor’s degree in Business

• , Accounting, Finance, or
• a related
• field.
• Certification in Medical Billing, Coding, or Revenue Cycle Management (e.g., CPC, COC, CRCR).

Skills and Competencies

• Exceptional analytical and problem-solving skills
• with strong attention to detail.
• Proven ability to troubleshoot complex billing and payment issues.

Assertive and persistent approach

• to collections with strong negotiation skills.
• Excellent written and verbal communication,
• maintaining
• professionalism under pressure.

High level

• of integrity with a strong focus on regulatory compliance and continuous process improvement.
• If you are a driven revenue cycle leader with a proven ability to
• optimize
• billing accuracy, maximize collections, and lead high-performing teams, we invite you to apply and help strengthen Synergy’s financial foundation.

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.