Home Health Billing Specialist

Reliant at Home; Plano (TX); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Competitive compensation package

Mileage reimbursement

Medical, vision, and dental insurance

401k with company match

Job summary

Reliant at Home is looking for a Full-Time Home Health Billing Specialist to join our Corporate Office in Plano, Texas. This position is crucial for ensuring accurate and timely submission of home health care claims and resolving any billing issues that arise.

The ideal candidate will have experience in Home Health billing, knowledge of Medicare, Medicaid, and private insurance procedures, and proficiency in medical coding. We offer a competitive compensation package along with generous benefits including health insurance and 401k matching.

Qualifications

• Experience in Home Health billing and collections.
• Knowledge of Medicare, Medicaid, and private insurance billing procedures.
• Proficiency in medical coding (ICD-10, CPT, HCPCS) and understanding of OASIS documentation.

Responsibilities

• Prepare and submit claims for home health services.
• Verify patient insurance information for claims.
• Monitor accounts receivable and follow up on unpaid claims.
• Identify and resolve billing discrepancies or denials.

Skills

Home Health billing experience

Knowledge of Medicare procedures

Proficiency in medical coding

Familiarity with Inovalon and HCHB EMR

Education

High school diploma or GED

Associate degree in healthcare administration or accounting

Job description

Reliant at Home is looking for a Full-Time Home Health Billing Specialist! This position will report and sit at our Corporate Office in Plano, Texas.

Summary

The Home Health Billing Specialist is responsible for ensuring accurate and timely submission of home health care claims, managing accounts receivable, and resolving billing issues. This role involves working closely with clinical staff, insurance companies, and patients to ensure compliance with federal, state, and payer-specific regulations.

Key Responsibilities

• Prepare and submit claims for home health services to Medicare, Medicaid, private insurance, and other payers.
• Verify patient insurance information and ensure proper documentation for claim submission.
• Monitor accounts receivable and follow up on unpaid claims.
• Identify and resolve billing discrepancies or denials in a timely manner.
• Ensure billing practices comply with Medicare and Medicaid regulations, as well as other payer requirements.
• Stay updated on regulatory changes related to home health billing and reimbursement.
• Maintain accurate patient records and documentation.
• Work with insurance companies to resolve payment issues.
• Generate and review financial reports related to billing and accounts receivable.
• Track key performance indicators (KPIs) such as claim submission turnaround and denial rates.

Qualifications

• High school diploma or GED required; associate degree in healthcare administration, accounting, or a related field preferred.
• Experience in Home Health billing and collections.
• Knowledge of Medicare, Medicaid, and private insurance billing procedures.
• Familiarity with billing software Inovalon and HCHB EMR systems.
• Proficiency in medical coding (ICD-10, CPT, HCPCS) and understanding of OASIS documentation.

Other Benefits

• Competitive compensation package
• Mileage reimbursement for work related travel
• Company vehicles available for select roles
• Medical, vision, and dental insurance
• Health Savings Account available with company contribution
• Generous paid holidays and vacation
• 401k with company match
• Company sponsored life insurance