Billing Specialist

Billing Specialist

At Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid, we ultimately enhance the quality of care for seniors, veterans, and underserved communities.

We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence. We're on a mission to revolutionize home care and are looking for passionate individuals to help us make a lasting, positive impact.

Position Snapshot

The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on precise claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean claim rates. The ideal candidate will have a strong understanding of medical billing practices and payer requirements. This position reports to the Medicaid Billing Manager.

Core Responsibilities

• Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
• Ensure all claim details are complete and error-free, including coding, provider information, and service dates
• Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
• Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
• Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
• Ensure compliance with industry regulations, payer policies, and internal billing procedures
• Maintain accurate and organized billing records and documentation
• Identify and report billing trends, potential errors, and areas for process improvement
• Collaborate with internal teams to standardize billing practices and enhance efficiency
• Support billing audits and internal quality control measures
• Other duties as assigned

Experience and Skills

• Experience working in billing and health care preferred
• Customer service experience preferred
• Excellent follow-up, time management, and communication skills required
• Proficiency in MS Office Suite (Outlook, Word, Excel) is required

Education and Qualifications

• High school degree required

What We Offer

• Medical, dental, and vision benefits
• 401k retirement plan
• Aflac benefits
• Paid time off
• Professional development support

Compensation

$55,000-$65,000 depending on experience