Home Health Billing Specialist: Claims & Collections

ProHealth Group; Birmingham (AL); Hybrid; USD 32,000 - 42,000; Full time

Job summary

ProHealth Home Health and Hospice in Birmingham, AL seeks a Full-Time Home Health Billing Clerk to manage billing and collections for Medicare, Medicaid, and private pay. You will work with the corporate and regional AR team to ensure accurate, timely submissions and adherence to payer requirements.

The role requires a High School education; prior Home Health billing experience is a plus. Duties include data entry, insurance follow-up, and reporting, with daily clerical tasks and coordination

Qualifications

• High School diploma or equivalent.
• 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 in Birmingham, AL seeks a Full-Time Home Health Billing Clerk to manage billing and collections for Medicare, Medicaid, and private pay. You will work with the corporate and regional AR team to ensure accurate, timely submissions and adherence to payer requirements.

The role requires a High School education; prior Home Health billing experience is a plus. Duties include data entry, insurance follow-up, and reporting, with daily clerical tasks and coordination