Claims & Reimbursement Specialist

Paycom - ATS; Philadelphia (Philadelphia County); On-site; USD 30,000 - 39,000; Full time

Job summary

Paycom - ATS in Philadelphia, PA 19132 is seeking a detail-oriented billing professional to support home and community-based services. The role emphasizes accuracy, regulatory compliance, and strong communication with care teams and clients.

The ideal candidate will have a high school diploma or equivalent, 3 years of medical billing experience, and proficiency with Excel and the HHAeXchange EMR system. Bilingual skills (Spanish) are a plus.

Qualifications

• High school diploma or equivalent required.
• Experience with HHAeXchange EMR preferred.
• Knowledge of Home and Community-Based Services programs preferred.
• Medical billing experience: 3 years preferred.
• Microsoft Excel experience: 3 years preferred.
• Proficiency with Microsoft Windows and Microsoft Office, including Excel, Word, and PowerPoint.
• Spanish language proficiency preferred.

Skills

Interpersonal skills

Verbal communication

Written communication

Attention to detail

Organizational skills

Analytical skills

Problem-solving

Multitasking

Independent work

Team collaboration

Telephone skills

Business communication

Writing skills

Regulatory compliance understanding

Discrepancy identification

Education

High school diploma or equivalent

2-year degree preferred

Tools

HHAeXchange EMR

Microsoft Excel

Microsoft Word

PowerPoint

Microsoft Office

Job description

Job Details: Job Location: Philadelphia, PA 19132, Position Type: Full Time, Education Level: 2 Year Degree, Travel Percentage: None, Job Shift: Day, Job Category: Finance, Qualifications:

• Strong interpersonal, verbal, and written communication skills
• Strong attention to detail with the ability to maintain accurate and organized records.
• Demonstrated organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities, meet deadlines, and work independently.
• Ability to collaborate effectively in a team environment with a positive, customer service-oriented approach.
• Professional telephone and business communication skills.
• Strong writing skills with appropriate grammar, punctuation, and spelling.
• Ability to understand and comply with regulatory guidelines and organizational policies and procedures.
• Ability to identify discrepancies and elevate billing or documentation concerns appropriately

Education/Experience Requirements

• High school diploma or equivalent required.
• Experience with HHAeXchange EMR preferred.
• Knowledge of Home and Community-Based Services programs preferred.
• Medical billing experience: 3 years preferred.
• Microsoft Excel experience: 3 years preferred.
• Proficiency with Microsoft Windows and Microsoft Office, including Excel, Word, and PowerPoint.
• Spanish language proficiency preferred