Medicaid Billing & Collections Specialist

Phoenix Home Care; Springfield (MO); On-site; USD 35,000 - 52,000; Full time

Job summary

Phoenix Home Care is seeking a dedicated billing and collections specialist to deliver accurate claims processing in a fast-paced home health environment. You will ensure timely submissions, follow HIPAA requirements, and communicate effectively with teammates and administration.

This role emphasizes understanding Medicaid regulations, payer rules, and account follow-up using AR reports and EOBs, with a focus on accuracy, organization, and professional conduct.

Qualifications

• Experience in billing/collections preferred.
• Knowledge of Medicaid regulations and payer rules.
• Ability to follow HIPAA regulations and protect patient privacy.
• Strong communication and teamwork skills.
• Detail-oriented with ability to multitask.

Responsibilities

• Submit claims promptly according to payer regulations.
• Perform pre-billing error checks and update as needed.
• Follow up on accounts receivable using aging reports and EOBs.
• Identify and resolve payment errors with payer-contracted rates.
• Process Medicaid Remittance Advice.
• Maintain HIPAA compliance and professional conduct.

Skills

Billing/Collections

Self-motivated

Independent work

Multitasking

Willing to learn

Office equipment

Bookkeeping basics

Communication

Professional attitude

Medical billing rules

Job description

Phoenix Home Care is seeking a dedicated billing and collections specialist to deliver accurate claims processing in a fast-paced home health environment. You will ensure timely submissions, follow HIPAA requirements, and communicate effectively with teammates and administration.

This role emphasizes understanding Medicaid regulations, payer rules, and account follow-up using AR reports and EOBs, with a focus on accuracy, organization, and professional conduct.