Billing Analyst I - HCHB Required

Graham Healthcare Group; United States; Remote; USD 29,000 - 33,000; Full time

Benefits offered by this job

Health, Vision & Dental insurance

401K & Pension with 4% employee conrib

15 days PTO

Company-paid education programs (Purse

Life insurance & disability benefits

Tuition discounts via Purdue/Kaplan

Job summary

Graham Healthcare Group is hiring a Home Health Billing Analyst I to support Hospice Billing activities. This role can sit remotely and involves ensuring timely and accurate filing of Medicare and non‑Medicare claims.

The position reports to the Hospice Billing Team Lead/Supervisor and requires experience with Home Health billing systems. Primary duties include claim audits, Oasis reporting, daily claims processing, and interfacing with insurers.

Qualifications

• High school education or equivalent.

Responsibilities

• Perform claim audit review for Medicare and PPS Medicare Commercial.
• Maintain responsibility for Oasis reports.
• Review unbilled reports for Medicare and Non‑Medicare weekly.
• Bill Medicare/Non‑Medicare claims daily.
• Verify visits have usual rate and contractual adjustment bi‑weekly.
• Work Medicare/Non‑Medicare claim rejections.
• Enter billing notes on accounts over 30 days.
• Call insurance to check status of outstanding claims.
• Process requests for additional information from Insurance Companies.
• Answer billing queue calls.
• Collect patient payments via phone.
• Work monthly Medicare, Medicare, HMO, and 3rd‑party agencies.
• Review Monthly SOX report for accounts over 30 days.

Skills

Billing experience

Microsoft Office

Strong communication

Patience and attention to detail

Education

High school diploma or equivalent

Tools

Esolutions

Waystar

Medicare portals

Job description

Homecare Homebase experience is required for this position.

Waystar experience is required for this position.

Compensation: $21.00 - $24.00

The base compensation range for this role is fixed, with a maximum cap of $24.00. We want to be transparent about this as we continue discussions.

Monday-Friday, 8 AM - 5PM, EST or CST, fully remote

Medical Benefits: Health, Vision, & Dental

Retirement: 401K & Pension w/ 4% employee contribution

PTO: 15 Days

Graham Healthcare Group is hiring a Home Health Billing Analyst I to support our company's brands and service lines. This position will support the Hospice Billing Team Lead and Hospice Billing Supervisor to ensure timely and correct claims are filed with all respective payers and intermediaries for Hospice patients. This position can sit remotely.

Home Health Billing Analyst I Responsibilities:

• Perform claim audit review for Medicare and PPS Medicare Commercial
• Maintain responsibility for Oasis reports
• Review unbilled reports for Medicare and Non-Medicare on a weekly basis
• Bill Medicare/Non-Medicare claims on a daily basis
• Review pre-post report to verify all visits have a usual and customary rate and contractual adjustment on a bi-weekly basis
• Work Medicare/Non-Medicare claim rejections
• Perform billing note entry on all outstanding accounts over 30 days
• Make insurance calls to check status on outstanding claims
• Process requests for additional information from Insurance Companies
• Answer billing queue calls
• Collect patient payments via the phone
• Work monthly Medicare, Medicare, HMO, and 3rd-party agency
• Review Monthly SOX report to ensure every account over 30 days has a Billing note

Home Health Qualification Requirements:

• High school education or equivalent
• Minimum of one to three years billing experience (preferred in home health care)
• Proficiency in Microsoft Office Suite
• Knowledge of Esolutions, Waystar, and commercial web portals
• Understanding of Medicare FSSO DDE software
• Strong computer knowledge
• Demonstrated patience, flexibility, and cooperative attitude
• Strong communication skills with other office staff
• Conscientiousness and attention to detail

About Graham Healthcare Group:

As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.

Join the Graham Healthcare Group and enjoy the following benefits:

• Competitive Pay:With opportunity for advancement
• Health and Welfare Benefits:Variousmedical, dental, and vision insurance options for you and your family to choose from.
• Supplemental Benefits:Company-paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
• Generous PTO Packages:15 days PTOthat grows with yourtenure, 6 paidholidays, 1personal day.
• Retirement:Save for your future with our company offered 401k and Company Contribution Plan.
• Company-Paid Education Programs: Grow your career by taking advantage of discounts on tuition for selected courses offered by Purdue and Kaplan.

Benefits may vary based on your employment status.

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication via phone or text.

By submitting your application, you are confirming that you are legally authorized to work in the United States.

JR# JR259409