Medical Biller for Home Health Care Agency

Benefits:

Bonus based on performance

Competitive salary

Dental insurance

Flexible schedule

Health insurance

Opportunity for advancement

Paid time off

Training & development

Benefits/Perks

Competitive Compensation

Supportive Team Environment

Opportunities for Career Growth and Advancement

Meaningful Work Serving Patients in the Community

Collaborative, Mission-Driven Culture

Job Summary

We are seeking a detail-oriented and motivated Medical Biller to join our growing home health care team. In this role, you will be responsible for processing and managing insurance claims, verifying billing information, following up on unpaid claims, and assisting patients and staff with billing-related questions.

The ideal candidate is organized, dependable, and comfortable communicating with insurance companies, physicians’ offices, clinicians, and patients. Experience with Medicare, Medicaid, and managed care billing in a home health setting is strongly preferred.

Responsibilities

Process and submit medical claims for Medicare, Medicaid, commercial insurance, and managed care plans

Review claims for accuracy, completeness, and compliance prior to submission

Follow up on unpaid, denied, or rejected claims and assist with appeals and corrections as needed

Verify patient insurance coverage, eligibility, authorizations, and billing requirements

Communicate with insurance companies regarding claim status, payment discrepancies, and authorization issues

Work closely with clinicians, intake staff, physicians’ offices, and hospitals to obtain required documentation and orders

Post payments, adjustments, and denials accurately into the billing system

Maintain accurate patient billing records and documentation

Assist patients and families with billing questions and insurance-related concerns in a professional and compassionate manner

Monitor accounts receivable and assist with collection efforts when appropriate

Maintain confidentiality and compliance with HIPAA regulations

Support the administrative team with additional office and billing duties as assigned

Qualifications

Previous medical billing experience required; home health billing experience strongly preferred

Knowledge of Medicare, Medicaid, EVV, PDGM, and managed care billing processes preferred

Experience with EMR or billing software systems preferred

Strong attention to detail and organizational skills

Excellent communication and customer service abilities

Ability to prioritize tasks and manage multiple deadlines

Comfortable working independently and as part of a team

Proficiency in Microsoft Office and general computer skills

Understanding of HIPAA and patient confidentiality standards

Schedule

Full-Time or Part-Time Opportunities Available

Monday–Friday

In-Office Position with Potential for Hybrid Flexibility Based on Experience and Performance

Flexible work from home options available.