Job Overview
Location
Utah
Job Type
Full-time
Category
Accounting
Date Posted
December 31, 2025
Full Job Description
đź“‹ Description
- • Own the entire revenue cycle for Pennant’s Medi-Cal population—every claim you shepherd from creation to cash directly fuels high-quality home health, hospice, and senior living services across 14 states. You are the last line of defense before dollars become care.
- • Drive accuracy at scale: perform final pre-bill audits on hundreds of claims weekly, spot variances down to the last HCPCS modifier, and route corrections to pre-bill staff with crystal-clear assignments that eliminate rework and speed cash flow.
- • Master complex payer rules: maintain an encyclopedic command of Medi-Cal, Medicare, and commercial contracts; translate dense regulatory updates into plain-language SOPs that keep 200+ independent sites compliant with state, federal, and Joint Commission standards.
- • Protect Pennant’s reputation and bottom line: negotiate directly with Medi-Cal fiscal intermediaries and third-party payers to overturn denials, reduce days in AR, and recover revenue that would otherwise be written off—your wins are celebrated company-wide through the Moments of Truth program.
- • Architect data-driven strategies: mine the billing information system for KPIs (clean-claim rate, denial root cause, aged AR buckets) and present actionable insights to the Executive Leadership Team each month; your dashboards shape quarterly goal-setting and annual budgeting.
- • Reconcile with precision: tie billing system outputs to the general ledger, match Medi-Cal quarterly reports to the penny, and prepare the annual Medicare cost report package so clean that external auditors simply sign off.
- • Supervise cash controls: oversee daily cash-posting and bank deposits, enforce segregation-of-duties policies, and maintain an audit-ready trail that satisfies both internal risk management and surprise payer audits.
- • Champion patient privacy: design and enforce HIPAA-compliant workflows, conduct quarterly access reviews, and train on-site teams so every PHI touch-point meets the highest ethical and legal standards.
- • Cultivate relationships that accelerate payment: build trust with patients, families, referral sources, and payer reps through transparent communication and respectful problem-solving—your tact turns potential conflicts into collaborative wins.
- • Elevate team capability: mentor pre-bill and collections staff via Pennant’s Learning Management System, deliver lunch-and-learn sessions on new Medi-Cal billing codes, and create quick-reference guides that reduce ramp-up time for new hires.
- • Embrace autonomy within CAPLICO culture: take intelligent risks—pilot a robotic-process-automation bot for claim scrubbing, test a new denial-tracking dashboard—then celebrate the outcomes with peers who genuinely love one another and own results together.
- • Continuously improve: every quarter, lead a Kaizen event to shave another day off the revenue cycle; your relentless curiosity keeps Pennant at the forefront of healthcare finance best practices.
🎯 Requirements
- • Associate’s degree in Accounting, Business Administration, or related field (Bachelor’s preferred)
- • 3+ years of healthcare billing and collections management, with demonstrable Medi-Cal or Medicaid experience
- • Expert-level knowledge of billing information systems and electronic claim submission workflows
- • Deep understanding of Medicare, Medi-Cal, and Joint Commission regulations
- • Proven ability to manage high-volume, detail-oriented work with diplomacy and discretion
🏖️ Benefits
- • Comprehensive medical, dental, and vision plans with multiple tiers to fit every life stage
- • 401(k) with generous company match and immediate vesting to secure your future faster
- • 100% employer-funded life and disability insurance for peace of mind
- • Unlimited access to Pennant’s Learning Management System—free e-courses, certifications, and live seminars to accelerate your career
- • Remote-first flexibility so you can live where you thrive while still collaborating with a world-class Service Center team
Skills & Technologies
Remote
Degree Required
About The Pennant Group, Inc.
The Pennant Group is a holding company that oversees a network of independent operating subsidiaries providing home health, hospice, and senior living services across multiple U.S. states. It delivers clinical services such as nursing, therapy, palliative care, and supports assisted living, memory care, and residential senior communities. Each subsidiary retains local management and assets, while Pennant offers centralized support in compliance, technology, finance, and operations. The company was spun off in 2019 and now operates across 13 states.
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