Home Health Biller

About Kids and Adults Too Home Health Care; Colorado; On-site; USD 42,000 - 66,000; Full time

Job summary

About Kids and Adults Too Home Health Care is seeking a diligent Billing Specialist to manage home health billing accuracy and timeliness. You will process claims, verify EVV, and work with clinical staff to resolve issues.

The role requires knowledge of Medicare/Medicaid regulations, strong attention to detail, and experience in revenue cycle management. This position offers collaboration across teams and opportunities to improve billing workflows.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• 1–3 years experience in medical billing, preferably in home health or rehabilitation settings.
• Knowledge of Medicare, Medicaid, and state-specific billing regulations including EVV requirements.
• Proficiency in billing processes, claims submission, denial resolution, and revenue cycle management.
• Strong attention to detail, organizational, and analytical skills.
• Excellent interpersonal and communication skills for collaborating with clinical and administrative staff.
• Familiarity with electronic documentation systems and compliance requirements.
• Requires experience in home health billing, claims, PARs, and EVVs.

Responsibilities

• Process, review, and submit billing claims for home health services to insurance providers, Medicare, and Medicaid.
• Submit and track prior authorizations as required for patient services.
• Perform EVV audits, verify visits, and correct discrepancies to ensure accurate billing and compliance.
• Collaborate with clinical and administrative staff to resolve billing issues and maintain accurate patient financial records.

Skills

Attention to detail

Organizational skills

Analytical skills

Interpersonal communication

Education

High school diploma or equivalent

Associate degree preferred

Job description

The Billing Specialist is responsible for processing, reviewing, and submitting billing claims for home health services accurately and in a timely manner. This role ensures compliance with federal, state, and agency regulations, including Medicare and Medicaid requirements. The Billing Specialist collaborates with clinical and administrative staff to resolve billing issues, maintain accurate patient financial records, and support efficient revenue cycle operations.

Responsibilities

• Claims Processing: Prepare, review, and submit accurate billing claims for home health services to insurance providers, Medicare, and Medicaid.
• Prior Authorizations: Submit and track prior authorizations as required for patient services.
• Electronic Visit Verification (EVV): Perform EVV audits, verify visits, and correct discrepancies to ensure accurate billing and compliance.
• Claims Processing: Prepare, review, and submit accurate billing claims for home health services to insurance providers, Medicare, and Medicaid.
• Prior Authorizations: Submit and track prior authorizations as required for patient services.
• Electronic Visit Verification (EVV): Perform EVV audits, verify visits, and correct discrepancies to ensure accurate billing and compliance.

Knowledge/Experience

• High school diploma or equivalent required; associate degree or higher in healthcare administration, accounting, or related field preferred.
• Minimum of 1–3 years of experience in medical billing, preferably in home health or rehabilitation settings.
• Knowledge of Medicare, Medicaid, and state-specific billing regulations, including Electronic Visit Verification (EVV) requirements.
• Proficiency in billing processes, claims submission, denial resolution, and revenue cycle management.
• Strong attention to detail, organizational, and analytical skills.
• Excellent interpersonal and communication skills for collaborating with clinical and administrative staff.
• Familiarity with electronic documentation systems and compliance requirements.

Requires experience in home health billing, claims, PARs, and EVVs.