Billing Specialist – Home Care

Reliable Home Care Providers, Inc.; Lincolnshire (IL); Vor Ort; USD 25.000 - 33.000; Vollzeit

Benefits dieser Stelle

100% employer-paid major medical保险

Vision insurance

Paid time off

Paid sick leave

Bi-weekly pay

Zusammenfassung

Reliable Home Care Providers, Inc. is seeking a detail-oriented Billing Specialist to manage non-medical home care billing, including Medicaid and IDoA claims.

You will verify eligibility, ensure hours align with authorizations, and follow up on outstanding payments with accuracy and discretion. The ideal candidate has prior home care billing experience, strong problem-solving skills, and proficiency in billing software and Microsoft Office.

Qualifikationen

• Experience in home care billing or healthcare claims processing preferred.
• Experience with IDoA billing, Medicaid, and insurance strongly preferred.
• Knowledge of non-medical home care services and billing systems.
• HIPAA confidentiality and privacy practices must be observed.
• Excellent organizational skills and attention to detail in billing records.

Aufgaben

• Prepare, review, and submit billing claims for non-medical home care services.
• Process billing for Medicaid, insurance, and IDoA programs.
• Verify client eligibility, payer coverage, and service authorizations.
• Ensure billed hours match authorized services and caregiver hours.
• Monitor claim status and follow up on pending or denied claims.
• Investigate discrepancies and resubmit corrected claims.
• Track accounts receivable and follow up on outstanding payments.
• Reconcile payments and document supporting records.
• Maintain accurate billing records and documentation.
• Ensure compliance with payer requirements and HIPAA.

Kenntnisse

Attention to detail

Organizational skills

Communication skills

Problem-solving

Multitasking

Independent work

Tools

Microsoft Office

Electronic billing systems

Billing software

Jobbeschreibung

Reliable Home Care Providers, Inc. is seeking a detail-oriented and organized Billing Specialist to support our Home Service department. The ideal candidate will be responsible for billing and claims processing for non-medical home care services, including Medicaid, insurance, and the Illinois Department on Aging (IDoA) programs. This position ensures accurate billing, timely claim submission, proper documentation, and follow-up on outstanding payments.

Key Responsibilities

• Prepare, review, and submit billing claims for non-medical home care services provided by caregivers.
• Process billing for Medicaid, insurance, and Illinois Department on Aging (IDoA) programs.
• Verify client eligibility, payer coverage, service authorizations, and approved service hours.
• Ensure billed hours match authorized services and documented caregiver hours.
• Follow applicable IDoA program requirements, payer guidelines, and billing procedures.
• Monitor claim status and follow up on pending, rejected, and denied claims.
• Investigate billing discrepancies, correct errors, and resubmit claims as needed.
• Track accounts receivable and follow up on outstanding payments.
• Reconcile payments and identify discrepancies between submitted claims and received reimbursements.
• Maintain accurate billing records, client information, authorization details, and supporting documentation.
• Ensure compliance with payer requirements, agency policies, and applicable regulations.
• Maintain confidentiality of client information in accordance with HIPAA requirements.
• Perform other related billing and administrative duties as assigned.

We offer a competitive benefits package, including:

• 100% employer-paid major medical insurance
• Vision insurance
• Paid time off
• Paid sick leave
• Bi-weekly pay

Requirements

• Previous experience in home care billing, or healthcare claims processing preferred.
• Experience with IDoA billing, Medicaid, and insurance strongly preferred.
• Knowledge of non-medical home care services, service authorizations, and billing systems.
• Strong attention to detail and accuracy when reviewing billing records.
• Proficiency in Microsoft Office and electronic billing systems.
• Excellent organizational, communication, and problem-solving skills.
• Ability to manage multiple tasks, meet deadlines, and work independently.
• Ability to collaborate effectively with administrative staff, care coordinators, and external payer representatives.

Salary Description

from $20/hour, compensation based on experience