Home Health Billing and Eligibility Specialist

Interim HealthCare of Mercer; Lawrenceville (NJ); Hybrid; USD 25,000 - 40,000; Part time

Job summary

A leading home health care provider is seeking a Medical Billing, Coding, and Eligibility Specialist to join their team. This hybrid position starts part-time with a path to full-time employment. Key responsibilities include managing billing processes, verifying insurance coverage, and ensuring timely collection of payments. Ideal candidates will have relevant education or certificates in medical billing and at least two years of experience in the industry.

Qualifications

• Two years collections and billing experience, preferably in the home health industry.
• Proficient in Microsoft Office applications.
• Ability to read and interpret financial reports.

Responsibilities

• Facilitates accurate billing and determines patient insurance eligibility.
• Performs payroll activities and ensures compliance with laws.
• Tracks invoices and manages aging reports for delinquent accounts.

Skills

Problem Solving

Detail Oriented

Organizational Skills

Analytical Skills

Communication Skills

Interpersonal Skills

Education

Associate Degree in Accounting or equivalent

Certificate in medical coding/billing

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Home Health Office seeking medical billing, coding and eligibility specialist. Hybrid position will be considered. Part-time initially - will be increasing to full-time with benefits. Applications to be accepted and considereduntil June 1, 2025. Position will begin between June and July, 2025.

General Purpose:

Facilitates prompt and accurate billing, determines patient and client insurance eligibility and coverage, monitors the client receivable status, and initiates collection protocols to prevent past due invoices.

Essential Functions:

• Performs branch payroll activities including, but not limited to, transferring/inputting client orders to the system, organizing and inputting time slips, verifying visit for each client, calculating pay, making appropriate deductions, auditing input and ensuring readiness for payroll processing.
• Complies with all federal, state and local laws and regulations regarding the payroll function by using the appropriate accounting standards.
• Provides management with needed billing reports.
• Generates billing information from the system and sends to appropriate party.
• Maintains billing system, including entering and assuring accuracy of all billing information.
• Tracks all invoices with special payment terms, including credit card and bank drafts.
• Responds to inquiries from clients, payer and offices in a timely manner. Takes appropriate steps to resolve areas of concern within limits of authority.
• Documents all client calls in the billing system.
• Provides weekly reports for management.
• Analyzes accounts receivable file to determine potential receivable problems.
• Contacts clients and payer sources to facilitate debt collection.
• Serves as liaison between billing and monitoring centers to ensure prompt and accurate invoicing.
• Monitors the aging report and send appropriate alerts to enter for delinquent accounts.
• Recommends strategies to improve collection on past due accounts.
• Determines eligibility for services based on insurance coverage.
• Reviews account receivable file to determine potential bad debts and notify manager with recommended write-offs.
• Prioritizes workload to complete tasks within required timeframe.
• Completes other assignments as requested and assigned.
• May have access to personal health information (“PHI”) necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization/department.

Minimum Education & Experience Requirements:

• Associate Degree in Accounting or equivalent years experience and training OR
• Certificate in medical coding/billing
• Two (2) years collections and billing experience, preferably in the home healthindustry.

Knowledge, Skills & Abilities Required:

• Strong background of problem solving regarding billing and payables issues.
• Detail oriented with strong organization, analytical and problem-solving skills.
• Advanced communication and interpersonal skills.
• Proficient with Microsoft Word, Excel and PowerPoint software.
• Ability to read and interpret financial reports.
• Demonstrated ability to work under pressure with multiple tasks, changing priorities, short deadlines and heavy workload.
• Working Conditions & Physical Effort:
• Work is normally performed in a typical interior/office work environment.
• Ability to work flexible schedule and/or evening hours as needed.
• Ability to sit in front of CPU for long periods of time.
• Physical activity is sedentary and may require occasional lifting or carrying up to 10 lbs.