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Pennant
Pennant
1,001 – 5,000 Employees
HealthcareHealthcare InsuranceWellness
Pennant is a healthcare services company that supports independent operating subsidiaries across home health, hospice, assisted living, independent living, and memory care. Its model gives local leaders the resources and tools to provide high-quality care while maintaining a strong focus on service, culture, accountability, and thoughtful risk-taking. Pennant operates 103 home health and hospice agencies and 51 senior living communities across U.S. states including Arizona, California, and Texas, offering opportunities for professionals interested in healthcare operations, senior living, and community-based care.
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AR Billing Supervisor

Lead Medicaid and managed care billing, accounts receivable, and revenue cycle operations for Pennant’s senior living communities. Oversee compliance, collections, reimbursement, audits, and billing teams across multiple states.

USUnited StatesAZArizonaIDIdahoNVNevadaTXTexasUTUtahWIWisconsinHybridFull-timeMiddleSeniorEnglish RequiredBilling Specialist

Description

  • Oversee accounts receivable, Medicaid and managed care billing, collections, and revenue cycle operations across senior living communities in multiple states.
  • Ensure billing, reimbursement, collections, and reconciliations are accurate and timely, and meet regulatory requirements.
  • Manage the full accounts receivable cycle for assigned communities.
  • Audit accounts receivable operations and billing practices.
  • Review accounts receivable trends, collection results, aging reports, and reimbursement activity.
  • Prepare and present accounts receivable, Medicaid, and managed care performance reports to leadership.
  • Track collections, aging, denials, authorizations, pending Medicaid applications, reimbursement timelines, and bad debt trends.
  • Oversee Medicaid billing across multiple states, including state-specific waiver and managed care requirements.
  • Monitor resident eligibility, authorizations, pending Medicaid status, and redetermination requirements.
  • Ensure Medicaid, waiver, and managed care claims and supporting documents are submitted on time.
  • Resolve claim denials, rejections, recoupments, underpayments, and reimbursement discrepancies.
  • Coordinate with Medicaid agencies, managed care organizations, case managers, and community staff.
  • Track regulatory and reimbursement changes and implement process updates.
  • Prepare for audits and coordinate responses to Medicaid, payer, and internal audits.
  • Act as the main escalation contact for billing, collections, Medicaid, and reimbursement issues.
  • Create and maintain standard procedures and best practices.
  • Coach, mentor, and train accounts receivable staff, Business Office Managers, and field representatives.
  • Help locations develop and carry out corrective action plans.
  • Attend organizational meetings and support month-end close, accrual reviews, revenue reconciliations, and reimbursement analysis.
  • Supervise Medicaid Billing and Managed Care Resources and assigned Revenue Cycle Support Team members.
  • Maintain team quality, productivity, training, and compliance.

Requirements

  • Bachelor’s degree in accounting, finance, healthcare administration, business administration, or a related field, or equivalent experience.
  • At least 5 years of experience in healthcare revenue cycle, accounts receivable, Medicaid billing, or managed care billing.
  • At least 2 years of leadership, supervisory, or team management experience.
  • Demonstrated experience overseeing Medicaid billing across multiple states.
  • Strong knowledge of Medicaid waiver programs, managed care organizations, authorizations, eligibility processes, and reimbursement methods.
  • Experience with claim submission, denial management, appeals, collections, and revenue recovery.
  • Experience using electronic medical record, billing, and revenue cycle platforms.
  • Strong analytical and problem-solving skills, with attention to accuracy, compliance, and process improvement.
  • Advanced proficiency in Microsoft Excel, Outlook, Word, and PowerPoint.
  • Working knowledge of state assisted living regulations and healthcare reimbursement requirements.
  • Ability to deliver presentations, training, and operational reviews at all organizational levels.
  • Excellent verbal and written communication skills.
  • Ability to manage competing priorities and deadlines across a geographically dispersed portfolio.
  • Ability to work effectively with operations leaders, community staff, residents, families, state agencies, and managed care organizations.
  • Experience in assisted living, senior living, long-term care, skilled nursing, or healthcare is preferred.
  • Certified Revenue Cycle Representative (CRCR) or a similar healthcare revenue cycle certification is preferred.
  • Experience with HCBS waiver programs, ALW, ALTCS, STAR+PLUS, Family Care, and other state-specific Medicaid programs is preferred.

Benefits

  • Comprehensive benefits package including medical, dental, vision, and a 401(k) with employer match.
  • Paid time off.
  • Holiday pay.
  • Professional development.
  • Work-life balance.
  • Work with leaders focused on patient outcomes and team success.

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