Medical Biller

Caring Hearts Homecare; Wilmington (MA); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

401k with match

Health Insurance

Competitive Pay

Dental (Voluntary)

Vision (Voluntary)

Short-term Disability (Voluntary)

Life insurance (Voluntary)

Paid Holidays

Job summary

Caring Hearts Homecare in Massachusetts is hiring a full-time Medical Biller to join our in-person team. You will prepare and submit claims, verify coverage, and maintain patient billing records.

The ideal candidate has Medicare and MassHealth experience, knowledge of Waystar, and strong HIPAA compliance. You should be organized, reliable, and able to multitask in a busy homecare setting.

Qualifications

• Waystar knowledge preferred.
• Billing experience for Medicare, MassHealth and other Commercial Insurances.
• Strong organization and multitasking skills.
• Excellent troubleshooting abilities.

Responsibilities

• Prepare and submit accurate claims.
• Follow up on unpaid or denied claims.
• Insurance verification.
• Maintain and update patient billing records.
• Ensure HIPAA compliance and confidentiality.
• Post payments and reconcile discrepancies.
• Generate billing reports and monitor payment timeliness.
• Manage AR >90 days and denial documentation.
• Participate in collection activities for problem accounts.
• Review billing reports monthly with Administrator.
• Perform other office duties as required.

Skills

Medicare billing

MassHealth billing

HIPAA compliance

Tools

Waystar

Job description

Job Description

Job Description

Job Description: Caring Hearts Homecare is looking to hire a full-time Medical Biller, someone who is self-driven, responsible, professional, and a team player.

Qualifications Include:

• Knowledge and use of Waystar preferred.
• Must have knowledge of Home Health claims billing.
• Must have billing experience for Medicare, MassHealth and other Commercial Insurances.
• Must have computer experience - Microsoft Word and Excel, able to create and maintain documents.
• Must be reliable and dependable.
• Must be organized and able to multitask efficiently.
• Excellent troubleshooting skills.

Responsibilities Include:

• Prepare and submit accurate claims.
• Follow up on unpaid or denied claims.
• Insurance Verification.
• Maintain and update patient billing records.
• Ensure that all billing practices comply with relevant healthcare regulations, including HIPAA, and maintain confidentiality of patient information.
• Post payments to patient accounts, reconcile payments, and ensure discrepancies are addressed promptly.
• Generate and analyze billing reports to monitor the accuracy and timeliness of payments, including aging reports and claim status reports.
• Manages the AR for and assure prompt resolution of AR >90 days
• Manages and assures that all denial documentation is collected and sent in a timely manner.
• Participates in all collection activities of problem accounts.
• Reviews and analyzes all billing reports on a monthly basis with the Administrator and/or Designees.
• Perform other office duties as required.

Benefits Include:

• 401k with match.
• Health Insurance.
• Competitive Pay.
• Voluntary benefits – Dental, Vision, Short-term Disability, Life insurance, etc.
• Paid Holidays.

Work Location: In person