About the role

  • Billing Specialist for home and community-based care managing billing cycle across multiple agencies. Involves critical support for reimbursement processes and collaboration with payers in a hybrid work model.

Responsibilities

  • Generate and submit claims to insurance companies, government programs, and other payers for services provided to patients.
  • Utilize agency management software to accomplish billing tasks efficiently.
  • Record and post payments received from insurance companies, patients and other sources to the appropriate patient accounts in the billing system.
  • Monitor and follow-up on unpaid claims, rejections/denials, and any outstanding balances to ensure timely collections.
  • Research and resolve billing discrepancies or denial to facilitate reimbursement.
  • Collaborate with payers to address claim disputes.
  • Understanding the processes and requirements related to exchanging health care information with Home Health Agencies, including compliance with regulations and standards.
  • Performing regular reconciliation of accounts receivable records with payments received to identify and resolve discrepancies.
  • Collaborating with other departments and agencies to resolve billing and payment issues and improve processes.
  • Generating reports on billing and AR performance, including key metrics and KPIs.
  • Effective communication with team members and management.
  • Obtain and maintain an understanding of customers’ objectives and goals.

Requirements

  • High school diploma required
  • Associate’s or Bachelor’s degree in healthcare administration, finance, or related field preferred
  • A minimum of 3+ years of RCM experience in the homecare industry preferred
  • Proficient in MS Office and MS Teams
  • Strategic and creative mindset
  • Excellent written and oral communication skills
  • Critical thinker and problem-solver
  • Self-starter and team player

Benefits

  • competitive health plans
  • paid time-off
  • company paid holidays
  • 401K retirement program with a Company elected match
  • other company sponsored programs

Job title

Billing Specialist

Job type

Experience level

Mid levelSenior

Salary

$22 - $24 per hour

Degree requirement

High School Diploma

Location requirements

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