Billing Specialist

Job Description

Job Description

About Us:

Home Nursing & Therapy Services is a trusted home health care provider serving communities across the San Antonio area since 1982. We are committed to delivering compassionate, high-quality care to our patients. Our team values accuracy, compliance, and excellent service, and we’re seeking a dedicated Billing Specialist to support our growing operations.

Position Summary:

The Billing Specialist is responsible for managing all aspects of medical billing for home health services. This role ensures accurate submission of claims, timely reimbursement, denied claims, and compliance with Medicare, Medicaid, and private insurance guidelines.

Key Responsibilities:

• Prepare, review, and submit electronic and paper claims for home health services.
• Process billing for Medicare, Medicaid (Texas Medicaid), and commercial insurers.
• Verify patient insurance coverage and eligibility.
• Resolve claim rejections, denials, and underpayments.
• Follow up on outstanding accounts receivable and ensure timely collections.
• Maintain accurate billing records and documentation.
• Work closely with clinical and administrative staff to ensure billing accuracy.
• Stay up to date with federal and Texas state regulations for home health billing.
• Generate billing reports and assist with audits as needed.

Qualifications:

• High school diploma or equivalent required; Associate degree preferred.
• Minimum 1–3 years of medical billing experience, preferably in home health care.
• Strong knowledge of Medicare and Texas Medicaid billing rules.
• Familiarity with OASIS, EVV (Electronic Visit Verification), and home health software systems is highly preferred.
• Experience with ICD-10, CPT, and HCPCS coding.
• Excellent attention to detail and organizational skills.
• Strong problem-solving and communication skills.
• Proficiency in billing software, AXXESS EMR and Microsoft Office (Excel, Word).

Preferred Qualifications:

• Certified Billing and Coding Specialist (CBCS) or similar certification.
• Experience working in a Texas-based home health agency.
• Knowledge of PDGM (Patient-Driven Groupings Model).

Benefits:

• Competitive salary (based on experience).
• Health, dental, vision, and supplementary insurance policies.
• Paid time off and holidays.
• 401(k) with company match.
• Opportunities for professional growth and development.

Equal Opportunity Employer:

Home Nursing & Therapy Services is an equal opportunity employer and values diversity in the workplace.