Revenue Cycle Management Associate

The Role: A Medical Biller for Home Health Services is responsible for accurately preparing, submitting, and following up on claims to insurance companies, government payers (e.g., Medicare, Medicaid), and patients. This role ensures timely reimbursement for home health services provided, compliance with regulations, and effective communication with healthcare providers and payers. Key Responsibilities Billing and Claims Submission Prepare, review, and submit accurate claims to insurance companies. Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered. Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care. Use billing software to process and track claims. Accounts Receivable Management Monitor claim status and follow up on unpaid or denied claims promptly. Investigate and resolve claim discrepancies, denials, and appeals. Generate reports for outstanding accounts receivable and payment trends. Compliance and Documentation Ensure all billing practices comply with federal, state, and local regulations. Verify patient insurance information, eligibility, and prior authorization requirements. Maintain accurate records of billing activities and patient accounts. Communication and Coordination Collaborate with office staff, and payers to address billing and reimbursement issues. Provide clear communication to patients regarding their billing, payments, and financial responsibilities. Respond to inquiries from payers, patients, and colleagues in a professional and timely manner. Qualifications Education and Experience High school diploma or equivalent (required); associate’s or bachelor’s degree in a related field (preferred). Certification in medical billing and coding (e.g., CPC,CPB) is highly desirable. 1-3 years of experience in medical billing, preferably in a home health care setting. Skills and Competencies Strong knowledge of home health billing codes, insurance guidelines, and reimbursement processes. Proficiency with electronic health records (EHR) and billing software. Attention to detail and accuracy in data entry and documentation. Excellent problem-solving and organizational skills. Strong written and verbal communication skills. Technical Requirements Familiarity with Medicare and Medicaid billing guidelines specific to home health. Experience with claim submission platforms such as Medicare DDE and clearinghouses. Knowledge of HIPAA regulations to ensure patient confidentiality. Benefits Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus. Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance. Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays. Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered). Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows. We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation. #J-18808-Ljbffr