Billing Specialist

Job Description

Job Description

Billing Specialist

Shelton, Connecticut (On-site)

Full-Time

$21.00 – $23.00 per hour

At CHS, we live by one mission: Be Safe. Be Well. Be Home.

Since 2007, our family-owned homecare agency has proudly supported Connecticut’s seniors and families with compassion, dedication, and exceptional service.

Join us in our modern Shelton office featuring:

• Free membership to an in-building 24/7 gym

• Discounted childcare services on-site

• In-building breakfast/lunch café

• Plenty of free parking

• Convenient access to Route 8

Caregiver’s Home Solutions (CHS) is seeking a detail-oriented and dependable Billing Specialist to support billing operations in our Shelton, CT office. The ideal candidate will have experience with healthcare billing, Medicaid Waiver billing, and claims processing in a fast-paced office environment. Sandata experience is strongly preferred.

This position will serve as the primary biller for Medicaid Waiver clients utilizing the following systems:

• AxisCare

• Sandata (Connecticut’s Electronic Visit Verification system)

• DSSMaps portal

This role will also serve as a backup biller for non-Medicaid Waiver clients across various payer sources, including:

• Private-pay clients, including Long-Term Care Insurance reimbursement claims submission support

• DSS clients through Social Work Services / Protective Services for the Elderly (PSE) programs

• Respite Grant clients through Agencies on Aging and various organizations (e.g., the Alzheimer’s Association)

• Veterans through the VA Community Care Network

• Respite clients through Medicare’s GUIDE Model partnerships (e.g., Connecticut Hospice/Stand By Me and PocketRN)

This is a fully on-site position reporting to the Managing Director.

• Input data and prepare claims in AxisCare for billing purposes within Sandata and DSSMaps

• Create, review, and export invoices in AxisCare system for processing finalized claims with Sandata

• Confirm shifts worked to ensure accurate and timely billing

• Research and resolve billing inconsistencies, denied claims, and payment discrepancies

• Maintain client billing records and all supporting documentation

• Secure and verify prior authorizations, eligibility, and required billing documentation

• Provide daily billing updates and reports for management review

• Provide daily billing issues status report for management review

• Collaborate with internal departments, as well as external payors as needed, to resolve billing concerns and improve workflow efficiency

• Collect and maintain compliance-related documentation as needed

• Communicate professionally, clearly, and thoroughly with clients, payers, and internal staff regarding billing matters

• Always maintain confidentiality and HIPAA compliance

• Perform additional billing and administrative projects as assigned

• Bilingual Spanish preferred

• Minimum of 2–3 years of billing, bookkeeping, healthcare billing, or related experience preferred

• Experience with Medicaid Waiver billing strongly preferred

• Experience with Sandata and DSSMaps systems is strongly preferred

• Experience in home care, healthcare, or service industry billing preferred

• Familiarity with AxisCare software is a plus

• Strong computer skills including Microsoft Excel, Word, Outlook, and QuickBooks

• Excellent attention to detail and organizational skills

• Ability to multitask and work efficiently in a fast-paced environment

• Strong written and verbal communication skills

• Professional, dependable, and team-oriented attitude

• Ability to maintain confidentiality in all aspects of the role

• Full-time, Monday through Friday

• 8:30 AM – 5:00 PM

• Fully on-site in Shelton, CT

• Primarily sedentary work involving extended periods at a computer

At CHS, we believe our employees are the foundation of our success. We foster a supportive, team-oriented culture where hard work, professionalism, and dedication are recognized and rewarded. If you are looking for an opportunity to grow your billing career while making a meaningful impact, we encourage you to apply.