Home Health & Hospice Biller

Legacy Home Health Agency, Inc.

McAllen (TX)

On-site

USD 42,000 - 60,000

Full time

14 days+

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Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Legacy Home Health Agency, Inc. is seeking a dedicated billing specialist to ensure accurate and timely invoicing for home health and hospice services. The role focuses on claims submission, eligibility verification, and denials management to meet payer requirements.

The ideal candidate has medical billing and coding knowledge, at least 1 year of experience, and a bachelor’s degree or equivalent certification. A collaborative team environment and HIPAA compliance are emphasized.

Qualifications

Bachelor degree preferred; medical billing and coding certification may substitute for education, along with professional experience as a biller or coder.
Experience as a biller or coder in a related health care setting preferred.

Responsibilities

Submit and manage claims for Medicare, Medicaid, managed care, and commercial payers
Verify eligibility, review documentation, and ensure billing accuracy and compliance
Monitor accounts receivable, follow up on unpaid claims, and resolve denials or rejections
Process hospice and home health billing requirements, including NOE/NOTR and OASIS-linked claims
Post payments, reconcile remittances, and identify discrepancies
Maintain compliance with HIPAA and CMS regulations
Collaborate with clinical, intake, and coding teams to address billing issues

Skills

Billing terminology

Medical coding terminology

Analytical skills

Education

Associate degree

Bachelor degree preferred

Job description

Are you interested in billing and coding? Are you pursuing a billing certification? We have an exciting opportunity immediately available for you!

We are looking for motivated individuals to ensure accurate and timely billing for our Home Health and Hospice Services. The ideal candidate will demonstrate excellent organizational and analytical skills to meet regulatory and payer requirements. Knowledge in medical coding and billing terminology required.

Key Responsibilities

Submit and manage claims for Medicare, Medicaid, managed care, and commercial payers
Verify eligibility, review documentation, and ensure billing accuracy and compliance
Monitor accounts receivable, follow up on unpaid claims, and resolve denials or rejections
Process hospice and home health billing requirements, including NOE/NOTR and OASIS-linked claims
Post payments, reconcile remittances, and identify discrepancies
Maintain compliance with HIPAA and CMS regulations
Collaborate with clinical, intake, and coding teams to address billing issues

Performance Expectations

Maintain high accuracy (98%+) and low denial rates
Meet claim submission and follow-up timelines
Keep accounts receivable within agency targets
Ensure complete, audit-ready documentation

Education/Experience

Bachelor degree preferred. Medical billing and coding certification may substitute for education, along with professional experience as a biller or coder. Work experience in a related health care setting preferred.

Benefits