Home Health Billing & Collection Specialist

Interim HealthCare Inc.; Cleveland (OH); Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive pay

Daily Pay option

Job summary

Interim HealthCare Inc. is seeking a Home Health Billing and Collection Specialist for a full-time role. The position is remote with potential in-office hours and ideally based in Ohio.

You will handle billing and collections for the Home Health Revenue Cycle Department, ensuring compliance with policy and regulatory standards. The successful candidate will have 3–5 years in home health billing, DDE knowledge, PA Medicaid experience, and strong medical collections proficiency.

Qualifications

• Associate degree or higher; Bachelor’s preferred.
• 3–5 years in home health billing or related field.
• Experience with DDE and PA Medicaid is required.
• Knowledge of private pay and all home health payors is essential.

Responsibilities

• Maintain complete and accurate patient billing records in compliance with policy and regulatory standards.
• Post payments accurately and ensure balances with insurance plans are current by month-end.
• Bill insurance plans for denials or collections and coordinate with nursing homes and other departments.
• Monitor aging and AR days (target 60–90 days) and report issues to Revenue Cycle Manager.

Skills

Home health billing

DDE knowledge

Private pay experience

Medicaid experience (PA)

Medical collections

Adaptability

Education

Associate degree

Bachelor's degree preferred

Tools

Home health 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.

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