Billing Specialist – Home Health Care Agency
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Skills
accounts receivablecare planninghipaamedical billingmicrosoft officepayment posting
About the role
Description
Reliable Home Care Providers, Inc. is seeking a detail-oriented and organized Billing Specialist to join our team. The ideal candidate will be responsible for processing and submitting claims, verifying billing documentation, following up on unpaid claims, and resolving billing discrepancies to ensure accurate and timely reimbursement for home health services.
Key Responsibilities
- Prepare, review, and submit insurance claims for home health services.
- Verify patient eligibility, insurance coverage, and authorization requirements.
- Review billing documentation, visit records, and supporting information for accuracy and completeness.
- Monitor claim status and follow up on pending, denied, and rejected claims.
- Investigate billing discrepancies and resolve claim issues with insurance companies and other payers.
- Submit corrected claims and assist with the appeals process when necessary.
- Maintain accurate billing records and update patient and payer information.
- Communicate with the clinical, administrative, and intake teams to obtain missing documentation and resolve billing issues.
- Track accounts receivable and assist with payment posting and reconciliation.
- Ensure billing activities comply with payer requirements, agency policies, and applicable regulations.
- Maintain confidentiality of patient information in accordance with HIPAA requirements.
- Perform other billing and administrative duties as assigned.
We offer a competitive benefits package, including:
- 100% employer-paid major medical insurance
- Dental insurance
- Vision insurance
- 401(k) retirement plan
- Paid time off
- Paid sick leave
- Bi-weekly pay
Requirements
- Previous experience in medical billing, preferably in home health care or a related healthcare setting.
- Knowledge of medical claims processing, insurance billing, and accounts receivable.
- Familiarity with Medicare, Medicaid, managed care plans, and commercial insurance billing requirements preferred.
- Understanding of home health billing documentation and authorization requirements.
- Experience reviewing denied and rejected claims and following up on outstanding payments.
- Strong attention to detail, organizational skills, and ability to meet deadlines.
- Excellent communication, problem-solving, and analytical skills.
- Proficiency in Microsoft Office and electronic billing systems.
- Ability to work independently and collaboratively as part of a team.