Prepare and submit medical claims for home health, hospice, and palliative care services. Verify coding and documentation, manage billing work queues, resolve denied or underpaid claims, follow up on outstanding accounts, maintain accurate EMR and billing records, and ensure compliance with CMS, payer, and HIPAA requirements.
Description
We are seeking a detail-oriented and motivated Billing Specialist to join our team. In this role, you will be responsible for preparing, submitting, and following up on insurance claims for Home Health, Hospice, and Palliative Care services. If you have experience with medical billing, enjoy solving reimbursement challenges, and are committed to accuracy and compliance, we'd love to hear from you.
As our Billing Specialist, you will:
- Prepare, review, and submit electronic and paper claims accurately and on time
- Verify HCPCS, CPT, and ICD-10 coding and ensure documentation supports billed services
- Bill Medicare, Medicaid, commercial insurance, and other third-party payers
- Monitor billing work queues, claim edits, and validation reports
- Investigate and resolve denied, rejected, or underpaid claims
- Follow up on outstanding accounts to maximize timely reimbursement
- Collaborate with clinical and administrative teams to resolve documentation issues affecting billing
- Maintain accurate billing records within the agency's EMR and billing systems
- Stay current with CMS regulations, payer requirements, HIPAA standards, and industry best practices
- Assist with month-end billing activities and provide cross-coverage as needed
- Develop and maintain clear process documentation for billing procedures
Why You'll Love Working Here
- Competitive compensation
- Comprehensive benefits package
- Paid time off and holidays
- Supportive, collaborative team environment
- Meaningful work that helps improve patient care
If you're passionate about healthcare revenue cycle operations and want to make a meaningful impact behind the scenes, we'd love to hear from you. Apply today and become part of a team dedicated to providing exceptional care and service.
Requirements
Required Qualifications- High school diploma or equivalent
- Minimum of two (2) years of medical billing experience
- Knowledge of Medicare, Medicaid, and commercial insurance billing requirements
- Experience with HCPCS, CPT, and ICD-10 coding
- Strong attention to detail and organizational skills
- Excellent communication and problem-solving abilities
- Ability to prioritize multiple tasks while meeting deadlines
- Associate degree in Healthcare Administration, Accounting, or a related field
- Experience billing for Home Health, Hospice, or Palliative Care
- Experience with Homecare Homebase, Netsmart, or similar EMR/billing software
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