Billing & EVV Specialist (Hybrid)

Job Description

Job Description

Billing & EVV Specialist

Company: Elite Home Healthcare LLC Location: Hybrid in Bedford, IN

Pay: $65k - $75k based on experience

Position Summary

Elite Home Healthcare LLC is a growing home healthcare agency based in Bedford, Indiana, serving more than 400 patients in the state. We are seeking a detail-oriented and organized Billing & EVV Specialist to oversee Electronic Visit Verification (EVV) accuracy, process medical billing claims, reconcile payments, and ensure compliance with state and federal regulations.

The ideal candidate possesses strong analytical, communication, and problem-solving skills and can manage multiple responsibilities independently in a fast-paced environment.

Key Responsibilities

• Monitor and reconcile daily EVV transactions, ensuring accurate caregiver visit documentation, clock-in/out records, and billable hours.
• Identify and resolve EVV discrepancies by communicating with caregivers, scheduling staff, and management.
• Verify billable hours in the Electronic Medical Record (EMR) system to ensure accurate billing and payroll.
• Process and submit Medicaid and Managed Care insurance claims accurately and timely.
• Reconcile insurance payments and Explanation of Benefits (EOB) statements using Excel and EMR systems.
• Investigate denied, rejected, underpaid, or unpaid claims and submit corrections or appeals as needed.
• Monitor outstanding accounts receivable and provide management with updates on payment resolutions.
• Communicate with insurance providers to resolve billing and reimbursement issues.
• Maintain accurate documentation and ensure compliance with Indiana Medicaid EVV requirements, HIPAA, and applicable regulations.
• Collaborate with internal teams to resolve discrepancies and improve billing and EVV processes.
• Perform additional related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Minimum of two (2) years of experience in a medical office or healthcare administrative environment.
• Experience with data entry, record reconciliation, and basic mathematical calculations.
• Proficiency in Microsoft Office, particularly Excel.
• Strong organizational, communication, and problem-solving skills.
• Excellent attention to detail and ability to manage multiple priorities.
• Ability to work independently with minimal supervision while maintaining confidentiality.

Preferred Qualifications

• Associate's degree in healthcare administration, medical billing, or a related field.
• Medical billing experience within a home healthcare agency.
• Experience with Medicaid and Managed Care billing, claims processing, denials, and payment reconciliation.
• Knowledge of EVV systems and home healthcare documentation requirements.
• Experience using Kinnser/WellSky, Sandata, or similar EMR/EVV platforms.
• Familiarity with Indiana Medicaid regulations and billing compliance.

Compensation & Location

Pay: $65k - $75k based on experience Location: Hybrid in Bedford, IN

Elite Home Healthcare LLC offers an opportunity to join a growing organization and contribute to accurate billing, regulatory compliance, and efficient home healthcare operations.