Billing Specialist- Home Health

Transition Home Healthcare; Houston (TX); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive Pay

Generous Paid Time Off (PTO) and Holid

Medical

Dental

Vision

Life insurance & LTD/AD&D insurance

Short-Term Disability

Supplemental Insurances (Hospital Ind.

401(k) w/match

Job summary

Transition Home Healthcare in Houston, TX is seeking a self-driven Accounts Receivable & Billing Specialist for an onsite role. You will manage billing processes, ensure timely AR operations, and maintain patient account records across EMR systems.

The role requires familiarity with home health billing, prior authorizations, and insurance requirements, while collaborating with caregivers, payors, and patients to maximize timely reimbursement.

Qualifications

• 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 preferred.
• Strong communication and interpersonal skills.

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.

Skills

Billing processes

Accounts receivable (AR)

Prior authorizations

Billing systems

Communication skills

Interpersonal skills

Microsoft Office

HCHB EMR

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 preferred
• 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.