Billing Specialist
Full Time • Nineveh
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Training & development
- Vision insurance
We are looking for a Medical Billing Specialist responsible for completing the billing process from claim generation through payment, ensuring accounts receivable are accurate and up to date for all payer sources. This position troubleshoots and resolves billing issues and ensures a smooth, compliant billing process.
Qualifications
- High school diploma required; college degree preferred
- Minimum two (2) years of experience, preferably in a healthcare or home health setting
- Knowledge of billing regulations, prior authorizations, medical terminology, and coding for Medicare, Medicaid, and insurance
- Understanding of home health reimbursement regulations and standards
- Strong verbal, written, and interpersonal communication skills
- Proficient in Microsoft Word and Excel
- Ability to organize, prioritize, and manage time effectively with minimal supervision
- Skilled in problem-solving, decision-making, and conflict resolution
- Able to create standard operating procedures and work in a regulated environment
- Demonstrates professionalism and teamwork
- Licensed driver with insured vehicle per agency and state requirements
Essential Functions / Areas of Accountability
Billing and Accounts Receivable
- Perform billing for all payer sources in compliance with Agency, State, and Federal regulations
- Bill all payers accurately, including Medicaid PA, Aged and Disabled Waiver, Thrive Alliance Choice, CICOA Choice, LifeSpan, Private Pay, and all other accepted insurance types
- Track Medicare claims and coordinate with Billing and Medical Staff to ensure payment
- Post all payments accurately and promptly
- Monitor and reconcile accounts receivable to maintain current balances
- Review and complete back-billing for Medicaid claims by the 15th of each month for the prior month
- Generate and distribute claims and invoices as required
- Post adjustments and approved write-offs accurately
- Send late notices to Private Pay customers and report accounts over 90 days to collections and Supervisor
- Notify Supervisor of billing discrepancies, including coding errors, authorization limits, or credentialing issues
- Communicate with scheduling and data entry staff to resolve coding or authorization issues affecting payments
- Maintain accurate billing reports and documentation, including spreadsheets, A/R summaries, and payer credentialing updates
- Collaborate with clinical, scheduling, auditing, and management teams to ensure efficient billing operations
Compensation: $23.00 - $25.00 per hour
At Independence Home Health, we desire to provide quality professional medical care while emphasizing the importance of individual freedom.
We understand the concept of
"Home"
While providing quality professional medical care and understanding the importance of following guidelines and regulations, we spend much of our time focusing on the individual's vital role in having input and decision making freedom regarding their own healthcare.
It is our desire to integrate our services into the home setting while showing respect for the individual by facilitating and incorporating a collaborative plan of care. Through our many years in the home care field we have seen when the customer and/or family has an active part in the planning and implementation in the plan of care, a sense of belonging and self-worth surfaces which ultimately produces increased quality of life, therefore enhancing the holistic healing process.
We understand the concept of
"Home"
While providing quality professional medical care and understanding the importance of following guidelines and regulations, we spend much of our time focusing on the individual's vital role in having input and decision making freedom regarding their own healthcare.
It is our desire to integrate our services into the home setting while showing respect for the individual by facilitating and incorporating a collaborative plan of care. Through our many years in the home care field we have seen when the customer and/or family has an active part in the planning and implementation in the plan of care, a sense of belonging and self-worth surfaces which ultimately produces increased quality of life, therefore enhancing the holistic healing process.
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