Medical Billing Specialist

Mi Familia & Summit Home Health and Hospice; United States; Hybrid; USD 58.000 - 74.000; Vollzeit

Benefits dieser Stelle

Remote Work Flexibility

Healthcare insurance

401(k) with company match

Zusammenfassung

Summit Home Health & Hospice is seeking a detail-oriented Medical Billing Specialist to join our team. This role handles claims processing, insurance reimbursements, and revenue cycle management in a home health setting; 2+ years of medical billing experience is required.

The position supports HIPAA-compliant processes, CPT/ICD-10/HCPCS coding, and effective communication with payers. Fully remote or hybrid work options are available for qualified U.S.-based candidates.

Qualifikationen

• High school diploma or equivalent is required.
• Minimum of 2 years of medical billing experience.
• Knowledge of Medicare, Medicaid, and commercial insurance billing processes.
• Familiarity with CPT, ICD-10, and HCPCS coding standards.
• Experience using Electronic Health Records (EHR) and medical billing software.

Aufgaben

• Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, commercial insurance providers, and other payers.
• Verify patient insurance eligibility, benefits, and coverage information.
• Monitor claim status and follow up on unpaid, denied, or underpaid claims.
• Investigate and resolve billing discrepancies and claim rejections.
• Post payments, adjustments, and patient balances accurately within billing systems.
• Communicate with insurance companies regarding claim submissions, appeals, and reimbursement issues.
• Prepare and submit appeals for denied claims when appropriate.
• Maintain accurate patient billing records and documentation.
• Collaborate with clinical, intake, and administrative teams to ensure billing accuracy.
• Generate billing reports and assist with revenue cycle analysis.
• Ensure compliance with HIPAA, Medicare, Medicaid, and other applicable healthcare regulations.
• Support month-end billing reconciliation and reporting activities.
• Assist patients and families with billing inquiries in a professional and compassionate manner.

Kenntnisse

Medical billing

EHR software

HIPAA compliance

Verbal communication

Remote work

Ausbildung

High school diploma or equivalent

Tools

Billing software

EHR systems

Jobbeschreibung

Job Location: Hybrid (United States)

Employment Type: Full-Time

About Summit Home Health & Hospice

Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services. Our team is committed to delivering exceptional patient-centered care while maintaining the highest standards of clinical and operational excellence.

Summit Home Health & Hospice is seeking a detail-oriented and experienced Medical Billing Specialist to join our growing team. The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. The ideal candidate possesses strong knowledge of healthcare billing regulations, insurance verification procedures, and reimbursement processes within a home health or hospice environment.

Responsibilities

Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, commercial insurance providers, and other payers.

Verify patient insurance eligibility, benefits, and coverage information.

Monitor claim status and follow up on unpaid, denied, or underpaid claims.

Investigate and resolve billing discrepancies and claim rejections.

Post payments, adjustments, and patient balances accurately within billing systems.

Communicate with insurance companies regarding claim submissions, appeals, and reimbursement issues.

Prepare and submit appeals for denied claims when appropriate.

Maintain accurate patient billing records and documentation.

Collaborate with clinical, intake, and administrative teams to ensure billing accuracy.

Generate billing reports and assist with revenue cycle analysis.

Ensure compliance with HIPAA, Medicare, Medicaid, and other applicable healthcare regulations.

Support month-end billing reconciliation and reporting activities.

Assist patients and families with billing inquiries in a professional and compassionate manner.

Requirements

High school diploma or equivalent.

Minimum of 2 years of medical billing experience.

Knowledge of Medicare, Medicaid, and commercial insurance billing processes.

Familiarity with CPT, ICD-10, and HCPCS coding standards.

Experience using Electronic Health Records (EHR) and medical billing software.

Strong attention to detail and organizational skills.

Excellent written and verbal communication skills.

Ability to work independently in a remote environment.

Compensation

Salary Range: $58,000 - $74,000 annually, depending on experience, qualifications, location, and demonstrated expertise.

Additional compensation opportunities may include:

Performance-based bonuses

Merit-based salary increases

Professional development reimbursement

Benefits

Medical, Dental, and Vision Insurance

401(k) Retirement Plan with Company Match

Paid Time Off (PTO)

Paid Holidays

Life and AD&D Insurance

Short-Term and Long-Term Disability Coverage

Employee Assistance Program (EAP)

Continuing Education and Professional Development Support

Remote Work Flexibility

Career Growth and Advancement Opportunities

Wellness Programs

Work Environment

Fully remote position available for qualified U.S.-based candidates.

Requirements

High school diploma or equivalent.

Minimum of 2 years of medical billing experience.

Knowledge of Medicare, Medicaid, and commercial insurance billing processes.

Familiarity with CPT, ICD-10, and HCPCS coding standards.

Experience using Electronic Health Records (EHR) and medical billing software.

Strong attention to detail and organizational skills.

Excellent written and verbal communication skills.

Ability to work independently in a remote environment.

Benefits

Medical, Dental, and Vision Insurance.

401(k) Retirement Plan with Company Match.

Paid Time Off (PTO).

Paid Holidays.

Life and AD&D Insurance.

Short-Term and Long-Term Disability Coverage.

Employee Assistance Program (EAP).

Continuing Education and Professional Development Support.

Remote Work Flexibility.

Career Growth and Advancement Opportunities.

Wellness Programs.

Work Environment.

Fully remote position available for qualified U.S.-based candidates.