Home Health Billing & Collection Specialist

Interim HealthCare Inc.; Cincinnati (OH); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive pay and benefits

Daily Pay option available

Job summary

Interim HealthCare Inc. is seeking a Home Health Billing and Collection Specialist to manage daily billing and collections for the Home Health Revenue Cycle Department. The role emphasizes accurate patient billing records, regulatory compliance, and timely cash posting.

Ideal candidates will have 3–5 years in home health billing, DDE proficiency, and Medicaid PA experience. The position is remote with possible in-office hours and requires familiarity with home health payors and private pay

Qualifications

• Associate degree (Bachelor's Degree preferred) in related field required or equivalent education, training, and experience.
• Minimum 3-5 years' experience in home health billing
• Recent experience working with popular home health billing software.
• Knowledge of DDE is a must.

Responsibilities

• Initiate and maintain complete and accurate patient billing records while ensuring confidentiality and regulatory compliance.
• Post payments and reconcile cash from insurance plans by end of month, addressing over- or under-payments as needed.
• Process Medicaid billing for nursing facilities and coordinate admissions, discharges, bed holds and transfers.
• Review aging and AR to keep days in AR at or below 60–90 days and monitor monthly revenue cycle performance.

Skills

Home health billing

DDE knowledge

Medical collections

Private pay & payors

Medicaid experience (PA)

Education

Associate degree or related field

Tools

Billing software

Job description

Description

Position will be remote, but some in-office hours are possible.

Candidate will ideally reside in Ohio.

Looking for experience in home health billing and knowledge of DDE. Someone who is well versed in private pay, all home health payors, has a strong medical collection background, and is able to take on new tasks easily. Candidate will have PA Medicaid experience.

As a Home Health Billing and Collections Specialist, you will perform daily billing and collection operations for Home Health Revenue Cycle Department. The Home Health Billing and Collection Specialist ensures that the patient accounts are handled in compliance with Interim Healthcare's policy and regulatory standards.

What we offer our Home Health Billing & Collection Specialist:

• Competitive pay and benefits
• Daily Pay option available

FT, 8:30 am - 5pm, M-F. Remote with some possible in office hours.

Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.

As a Home Health Billing and Collection Specialist, you will:

Initiate and maintain complete and accurate patient billing records along with maintaining confidentiality of Interim Healthcare patient billing records to ensure regulatory compliance with state and federal laws. Identifies and implements system enhancements, as it relates to industry trends to improve overall performance and outcomes.

Accurate cash posting and balance monies received from insurance plans by the end of each month. Track and process all over-payments/under-payments to ensure collection of balances owed/received are precise and appropriate. Always maintain proper payment of all state/federal revenues to ensure the correct rates have been paid. This is a federal regulation that must be followed.

Accurately process payments to Nursing Facilities for patients with Medicaid coordinating all admissions, deaths, bed hold days, transfers, and discharges. Bills all insurance plans for denials and/or collection of payments while maintaining timely filing of all insurance plans. Maintains a positive relationship working cooperatively with nursing homes, health information department, accounts payable department and other providers to maintain quality service, quick response time and ensure accurate payments. It is important to sustain positive relationships which are crucial to developing future referrals to the organization.

Review of monthly aging for trouble spots and past due accounts along with running month-end billing process and reconciliation improve flow of cash to organization. Monitors and maintains days in AR at or below 60-90 days to ensure cash flow. This is evidenced by a monthly review of AR with a success rate of 90%. Reporting any issues to Revenue Cycle Manager.

To qualify for a Home Health Billing and Collection Specialist with us:

• Associate degree (Bachelor's Degree preferred) in related field required or equivalent education,training, and experience.
• Minimum 3-5 years' experience in home health billing
• Recent experience working with popular home health billing software.

Knowledge of DDE is a must.

At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

#RMC