Billing Specialist - (Home Health)

Transition Home Healthcare; Houston (TX); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Competitive Pay

Generous PTO and Holidays

Medical

Dental

Vision

Life insurance & LTD/AD&D

Short-Term Disability

Supplemental Insurances (Hospital Ind.

401(k) with match

Job summary

Transition Home Healthcare and Pathways Hospice is seeking an Accounts Receivable & Billing Specialist to ensure accurate reimbursement and timely collections in our Houston area operations.

You will manage billing across EMR systems, handle aged AR, and report metrics to the Director of Revenue Cycle Management. Strong communication and Excel skills are essential in this on-site role.

Qualifications

• Minimum one year of billing/AR experience in home health or hospice.
• Experience with insurance plans, authorizations, and appeals.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Familiar with Homecare Homebase (HCHB) EMR.
• Excellent communication and interpersonal skills.
• Onsite role based in Houston, TX.

Responsibilities

• Manage reimbursement through efficient billing and collections processes.
• Update billing and patient records across EMR systems in a timely, accurate manner.
• Work aged accounts receivable and resubmit overdue bills as needed.
• Gather, collate, and report billing data to the Director of Revenue Cycle Management.
• Maintain knowledge of payor contracts, authorization requirements, and payor guidelines.
• Protect patient and organization confidentiality in billing operations.
• Collaborate with patients, families, payors, and referral sources.
• Complete other tasks as required by supervisor.

Skills

Billing expertise

AR and collections experience

Insurance research

Microsoft Office proficiency

Communication skills

Tools

Homecare Homebase (HCHB) EMR

Job description

At Transition Home Healthcare and Pathways Hospice, our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers.

We are looking for a self-driven, organized individual who understands that in order to provide outstanding customer service to our patients, we must ensure that they have a great experience from the start!

Accounts Receivable & Billing Specialist - (Home Health & Hospice)

Onsite - Houston, TX 77081

We Offer:

• Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• Medical
• Dental
• Vision
• Life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!)
• 401(k) w/match

Responsibilities:

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensure billing and patient account records are updated in multiple EMR systems timely and accurately. Document all follow-up and necessary information in reference to the patient account.
• Work aged accounts receivables, resubmit bills on overdue accounts, and submit significantly delinquent accounts to supervisor for further collection.
• Gather, collate, and report key billing information to the Director of Revenue Cycle Management.
• Understand the billing information system and maintain comprehensive working knowledge including upgrades and enhancements.
• Establish and maintain positive working relationships with patients, family members, payors, and referral sources.
• Maintain comprehensive working knowledge of insurance company and authorization requirements.
• Has knowledge of payor contracts and ensures payors are billed according to contract provisions.
• Protect the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.
• Complete other tasks as required and designated by supervisor and/or administrator.

Qualifications:

• Minimum one (1) year of experience with billing processes, AR, prior authorizations, and billing systems in home health/hospice.
• Knowledge of different insurance and HMO plans and ability to research complex issues.
• Working knowledge of insurance(s) for home health, authorization, and appeals requirements.
• Proficient level experience in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Experience with Homecare Homebase (HCHB) EMR
• Strong communication and interpersonal skills.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.