Home Health Billing Specialist

ProHealth Group; Gadsden (AL); On-site; USD 32,000 - 42,000; Full time

Job summary

ProHealth Home Health and Hospice is seeking a Billing Clerk responsible for billing and collections for Home Health Medicare, Medicaid, and commercial payers. You will work closely with corporate AR teams to ensure accurate submission and reconciliation of claims, and support billing operations across private and third-party payers.

This full-time role requires strong attention to detail, ability to manage data in AR systems, and coordination with the Benefit/Authorization department.

Qualifications

• High School education is required.
• Previous experience in Home Health and Hospice billing is a plus.

Responsibilities

• Bills private pay statements to patients prior to the beginning of each month.
• Inputs data into accounts receivable system.
• Bills private insurances to relevant insurances.
• Reconciles payments with Accounts Receivable Balances.
• Follows up on Private insurance billing to ensure current payment.
• Works closely with Benefit/Authorization Department.
• Ensure claims are completed accurately.
• Verification of Insurance coverages if needed.
• Send insurance follow up information or updates as required by each insurance company.
• Understands and complies with specific insurance company requirements to ensure collections of insurance claims.
• Ensures data in the Accounts receivable system is accurate.
• Complies operational statistics and reports as directed.
• Maintains appropriate accounting data via spreadsheets.
• Performs various routine clerical duties including word processing, answering phones, filing, photocopying, sorting, and distributing mail.
• Performs other job-related duties as requested.
• Ensure office supplies are properly stocked. Makes daily/weekly orders as appropriate with proper approvals.
• Maintains office equipment (postage machine, copier, phone systems).

Education

High School education

Job description

ProHealth Home Health and Hospice is seeking a Billing Clerk responsible for billing and collections for Home Health Medicare, Medicaid, and commercial payers. You will work closely with corporate AR teams to ensure accurate submission and reconciliation of claims, and support billing operations across private and third-party payers.

This full-time role requires strong attention to detail, ability to manage data in AR systems, and coordination with the Benefit/Authorization department.