Billing Specialist (Home Health and Hospice)

Myaegis; Mesa (AZ); Hybride; USD 37 000 - 41 000; Plein temps

Avantages offerts par ce poste

22 days PTO

Medical, Dental, Vision

401(k) with employer matching

Life, Accident, Disability Insurance

Referral bonuses

Résumé du poste

Aegis Healthcare is seeking a Billing Specialist to handle home health and hospice billing across Medicare, Medicaid, and commercial payers. You will own billing queues, ensure timely submissions, and resolve denials while collaborating with intake, QA, clinical ops, coding, IT, and finance.

You will post and reconcile payments, monitor aging, and provide leadership with regular revenue metrics. The role requires strong organization, accuracy, and clear communication.

Qualifications

• At least three years of hands-on home health or hospice billing and revenue cycle experience.
• Working knowledge of Medicare Part A, Medicaid, managed care or commercial payer billing and notices.
• Proven ability to resolve complex payer issues and document root causes.
• Proficiency with EHR, clearinghouse, Medicare billing portal, and PHI handling.
• Strong organization, accuracy, and professional communication.

Responsabilités

• Own assigned home health and hospice billing queues from eligibility review through final claim and payment.
• Prepare, submit, and track Medicare notices (NOAs, NOEs, NOTRs) and monitor acceptance and errors.
• Submit initial, interim, final, adjustment, and corrected Home Health and Hospice claims with correct dates, codes, units, and authorizations.
• Apply payer rules, state program requirements, contracts, and internal policies; track payer changes.
• Check for required billing elements and route deficiencies to the responsible team; do not alter clinical documentation.
• Monitor submission/acceptance status and escalate missing or late items.
• Investigate rejections/denials and document causes and actions.
• Coordinate documentation requests and audits with cross-functional teams.
• Post and reconcile payments; investigate unapplied cash and account discrepancies.
• Follow up A/R by aging; maintain clear notes and flag urgent risks.
• Provide regular billing metrics and collaborate with intake, QA, IT, finance.
• Work with cross-functional teams to resolve handoff problems.

Connaissances

Home health billing

Revenue cycle

Medicare/Medicaid billing

Payer denial resolution

EHR / Clearinghouse

Professional communication

Attention to detail

Outils

Electronic Health Record (EHR)

Clearinghouse portal

Medicare billing portal

Description du poste

Billing Specialist (Home Health and Hospice)

At Aegis Healthcare, we're expanding our team and are seeking a dynamic and analytical Billing Specialist who shares our passion for making healthcare better for all. If you're someone who values meaningful work, thrives in a supportive environment, and believes in enriching the lives of those you encounter, this may be the perfect opportunity for you.

• Location: Phoenix, AZ (Remote / Hybrid structure)
• Compensation: $27-$30/Hour DOE
• Status: Full-Time
• Schedule: Monday - Friday, 8 AM - 5 PM

About the Role

Aegis Healthcare is seeking an experienced biller and problem solver for all billable services within our Home Health and Hospice programs, across Medicare, Medicaid, Medicare Advantage, commercial insurance, and other applicable payer arrangements. This role follows claims and accounts from intake through payment resolution, investigates difficult billing issues, and spots process failures that delay claims or cash. The specialist works with billing leadership, intake, clinical leaders, QA, finance, and compliance across the states we serve.

Your key responsibilities will include:

Claims and payer requirements

• Own assigned home health and hospice billing queues from eligibility and authorization review through final claim, payment, and account closure. Verify coverage, payer order, patient and provider information, contract terms, and payer specific billing requirements.
• Prepare, submit, and track required Medicare notices, including home health Notices of Admission (NOAs), hospice Notices of Election (NOEs), and Notices of Termination or Revocation (NOTRs) when applicable. Monitor acceptance and resolve errors before deadlines.
• Prepare and submit initial, interim, final, adjustment, and corrected Home Health and Hospice claims for all assigned payers. Check home health visits and payment periods, hospice days and levels of care, dates, codes, units, authorizations, rates, and claim attachments as applicable.
• Apply current payer rules, state program requirements, contracts, clearinghouse edits, and internal policies. Track payer changes and identify when workflows or staff instructions need to change.

Billing readiness and issue resolution

• Check for required billing elements and documentation status, including orders, certifications and recertifications, face to face documentation where applicable, election documents, and plan of care status. Route clinical or coding deficiencies to the responsible team; do not create or alter clinical documentation.
• Monitor OASIS and HOPE submission or acceptance status when it affects billing or reimbursement, and promptly escalate missing, rejected, or late items to the team that owns quality reporting.
• Investigate clearinghouse and payer edits, returned claims, rejections, denials, underpayments, overpayments, authorization failures, eligibility conflicts, and payment discrepancies. Pursue each issue to resolution and document the cause, action, owner, and follow up date.
• Coordinate documentation requests, additional development requests, medical reviews, appeals, and audit support within assigned billing scope; elevate clinical or legal determinations to QA and compliance.

Revenue cycle and reporting

• Post and reconcile payments, remittances, contractual adjustments, and patient balances within assigned duties and approval controls. Investigate unapplied cash, credit balances, duplicate charges, missing claims, and invoice or charge discrepancies.
• Work accounts receivable by aging, payer, and root cause; follow up on unpaid or partially paid claims and maintain a clear account note trail. Identify write offs or refunds for approval rather than approving them independently.
• Provide billing leadership with regular reports on charges and claims billed, cash received, unbilled accounts, aging receivables, denials and rejections, notice timeliness, authorizations, held claims, and recurring causes of delay.
• Flag urgent risks immediately, including notice or authorization deadlines, claims at risk of timely filing, material rate or billing errors, payer or system outages, and repeated documentation gaps.
• Trace recurring problems to their source, such as intake data, authorization, visit capture, coding, documentation, claim setup, or payer mapping. Recommend a practical process fix, coordinate with the responsible owner, and check whether the fix reduced rework and delayed payment.
• Partner with intake, QA, clinical operations, coding, IT or EMR support, and finance to resolve handoff problems. Maintain organized records of submissions, payer responses, and follow up.

Perks & Benefits

• At Aegis Healthcare, we believe in creating supportive, enriching environments for our team members. Here's what we offer:
• Career Longevity: Our average employee tenure is 5 years.
• Meaningful Work: Support the frontline clinical teams providing person-centered care to vulnerable populations.
• Employee Experience: Fun perks, rewards, and recognition programs.
• Comprehensive Benefits Package: 22 days of PTO, Medical, Dental, and Vision insurance options, 401(k) with employer matching, Life, Accident, and Disability Insurance, and Referral bonuses.

Qualifications

To thrive in the role of Payroll and Account Specialist, you must:

• At least three years of hands‑on home health or hospice billing and revenue cycle experience, including substantial claim resolution and accounts receivable follow up. Experience with both service lines is strongly preferred.
• Working knowledge of Medicare Part A, Medicaid, managed care or commercial payer billing, electronic claims, remittance advice, denials, authorizations, and required notices. Ability to learn state specific programs and payer contracts.
• Demonstrated success resolving complex payer issues and identifying repeat process failures. Able to use claim and aging reports to explain the cause, financial impact, owner, and corrective action.
• Proficiency with an electronic health record, clearinghouse or Medicare billing portal, spreadsheets, and secure handling of protected health information. Careficient experience is a plus.
• Strong organization, follow through, accuracy, and professional communication. Comfortable raising an issue early and naming the owner and next action.

What does success in this role look like?

Required notices and claims are submitted and accepted on time; rejected and denied claims are resolved; aging accounts have documented follow up; and leadership can see what has been billed, paid, delayed, and placed at risk. Recurring errors lead to documented process changes whose results can be measured. Performance measures and reporting cadence will be set with billing leadership.

What Makes Aegis Stand Out?

Our mission is simple yet profound: enrich every life we encounter. From our employees to patients and their families, we strive to provide service rooted in care, compassion, and expertise. Our continuum of patient-focused services-which includes Mobile Primary Care, Home Health, Palliative Care, Hospice, Outpatient Therapy, DME, and Medical Transport-is designed to address diverse needs seamlessly.

Make a Difference with Aegis

Are you ready to impact lives every day, while growing within a company that values your dedication and contributions? We are expanding our team and seeking extraordinary individuals like you to join us on this inspiring mission.

Aegis Celebrates Diversity and is committed to creating an inclusive environment for all employees, underscored by a Zero Tolerance policy for discrimination. Aegis Healthcare is an equal opportunity employer, welcoming applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity, or any other characteristic protected by law.