Home Health - AR & Billing Specialist

Transition Home Healthcare; Houston (TX); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Competitive Pay

Paid Time Off

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Short-Term Disability

401(k) with company match

Job summary

Transition Home Healthcare and Pathways Hospice is seeking an Accounts Receivable/Billing Specialist to streamline billing and collections for home health and hospice services in Houston. You will manage patient accounts, coordinate with payors, and ensure accurate documentation across EMR systems.

The role emphasizes timely reimbursements, compliance with contracts, and maintaining positive relationships with patients and families while contributing to a high standard of patient care.

Qualifications

• 1+ year of billing/AR experience in home health or hospice.
• Experience with insurance plans, prior authorizations, and billing systems.
• Proficient in MS Office; strong communication and interpersonal skills.

Responsibilities

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Update billing and patient account records in EMR systems timely and accurately; document follow-up information.
• Work aged AR, resubmit bills on overdue accounts, and escalate delinquent accounts to supervisor for collection.

Skills

Communication

Insurance knowledge

Billing knowledge

Tools

HCHB EMR

Microsoft Office

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

Responsibilities:

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensure billing and patient accountrecords 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 ofpayor contracts and ensurespayors 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 HCHB EMR
• Strong communication and interpersonal skills.

Benefits:

• 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/company match

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.