Home Health Billing Specialist
Family Home Health and Hospice
Job Description
Job Description
Family Home Health Network , an Affiliate of the Alden Network , is a provider of intermittent Home Health care, palliative care, hospice care and skilled/custodial private care services throughout the Chicagoland area.
The Hospice Biller is responsible for managing all billing activities related to hospice services, ensuring accurate claim submission, compliance with Medicare/Medicaid and commercial insurance requirements, and timely reimbursement. This role is essential to maintaining the financial health of a hospice organization and supporting smooth administrative operations.
THIS POSITION IS HYBRID- MONDAY THROUGH FRIDAY 8:30AM TO 5:00PM
Billing & Claims ManagementPrepare, review, and submit hospice claims to Medicare, Medicaid, and commercial insurance payers.
Verify accuracy of billing codes, levels of care, dates of service, and patient eligibility.
Monitor claim status and follow up on unpaid, denied, or rejected claims.
Correct and resubmit claims as needed to ensure timely reimbursement.
Maintain compliance with CMS hospice billing regulations, including NOE (Notice of Election) and NOTR (Notice of Termination/Revocation) requirements.
Track and manage benefit periods, certifications, and recertifications.
Reconcile payments, adjustments, and remittances (ERA/EOB).
Assist with month-end closing processes and revenue reporting.
Collaborate with clinical, admissions, and administrative teams to ensure accurate documentation for billing.
Communicate with insurance companies, Medicare contractors, and clearinghouses regarding claim issues.
Provide billing updates and reports to leadership as needed.
Maintain accurate patient billing files and financial records.
Ensure confidentiality and compliance with HIPAA regulations.
Update billing software and patient accounts with current information.
Qualifications:
1 years of experience in medical billing, (MUST HAVE HOME HEALTH BILLING EXPERIENCE) .
Requires understanding of Medicare, Medicaid and Commercial billing/recovery rules/guidelines as well as HIPAA and compliance related rules.
Requires excellent verbal/written communication skills, ability to independently problem-solve, strong analytical skills, attention to detail, ability to work independently and adapt to a fast paced and changing environment.
Proficiency in Microsoft Office including Outlook, Excel, and Word.
Experience with Home Care Home Base experience a plus, but not necessary.
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Family leave
Flexible spending account
Health insurance
Health savings account
Life insurance
Mileage reimbursement
Paid time off
Referral program
Retirement plan
Tuition reimbursement
Vision insurance
If you enjoy being part of a dynamic team using your skills to have a positive impact on the lives of others, we would very much like to hear from you!
Family offers a generous compensation package with benefits to our full-time employees and is committed to attracting and retaining the best talent as an equal opportunity employer.
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