Job Description
Salary: $21.00-$30.00 per hour
Job Summary:
The Billing Specialist is responsible for accurately preparing, submitting, and managing billing for services rendered to patients in a home health care setting. This role ensures compliance with Medicare, Medicaid, private insurance, and other payer requirements while optimizing reimbursement and minimizing denials.
Key Responsibilities:
Prepare and submit claims to Medicare, Medicaid, and private insurance companies.
Review patient documentation and verify coding for accuracy and compliance.
Monitor and follow up on unpaid or denied claims; initiate appeals and resubmissions as necessary.
Post payments and adjustments to patient accounts.
Maintain accurate billing records and reconcile discrepancies.
Communicate with payers, patients, and internal staff to resolve billing issues.
Generate and review aging reports; ensure timely collections.
Stay current with regulations and policies impacting home health billing.
Assist in audits, both internal and external.
Support the office team with general administrative tasks as needed.
Qualifications:
High school diploma or equivalent
Minimum 2 years of medical billing experience, preferably in a home health care setting.
Knowledge of Medicare/Medicaid guidelines and private insurance billing.
Proficient with electronic health record (EHR) and billing systems (e.g., Matrix, Inovalon).
Familiarity with ICD-10, and HCPCS coding.
Strong attention to detail and organizational skills.
Excellent communication and problem-solving abilities.
Preferred Skills:
Certification in medical billing and coding (e.g., CMRS, CPB) is a plus.
Associate degree in business or healthcare preferred
Experience with audits and compliance reviews.
Knowledge of OASIS and other home health documentation.
Schedule: This position is Full-time, 40 hours a week, Monday-Friday from 8am-5pm with 1 hour lunch. This position will be reporting daily to our Chico office.
Benefits include: On the first of the month following 60 days of employment you will be eligible for health insurance, dental insurance, vision insurance, life insurance, as well as Flexible Spending Account (FSA).
Vacation benefits accrue starting on your first day of employment, and you can take paid vacation, sick and holiday leave after 90 days.
We offer a 401(k) matching up to 4% after 1 year of employment and 1,000 hours worked.
Salary: Pay range is $21.00 to $30.00 per hour. Exact compensation may vary based on skills and experience.
Apply:
If you have an interest in joining our amazing team, we would like to hear from you!
Click here to apply online.
You can also download the application packet located at and fax completed applications to 530-487-8585 or mail to us at 1398 Ridgewood Dr., Chico, CA 95973, Attention: HR Department
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