Medical Billing Specialist – Medicare & Hospice

Jefferson County News; Clarion (Clarion County); On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

health insurance

dental insurance

vision insurance

matching HSA

matching 401k

paid time off

and more.

Job summary

Clarion Forest VNA, Inc. is a compassionate, community-focused home health and hospice non-profit agency serving patients and families in the Clarion and Forest County areas.

This role ensures accurate billing, timely reimbursement, and regulatory compliance across Medicare, Medicaid, VA, commercial insurance, and private payors. Key duties include submitting claims, handling deadlines for Notices of Admission/Election, monitoring queues, resolving denials, and collaborating with clinical staff

Qualifications

• Medical billing experience preferred, with potential training for the right candidate.
• Familiarity with Medicare, Medicaid, and commercial insurance plans.
• Strong computer skills and general office experience.

Responsibilities

• Prepare, view, and submit claims accurately and on time
• Submit Medicare Notices of Admission and/or Notices of Election within deadlines
• Monitor billing work queues, claim edits, and validation reports
• Investigate and resolve denied, rejected, or underpaid claims
• Collaborate with clinical and administrative teams to resolve documentation issues affecting billing
• Maintain accurate billing records within the agency's billing system
• Stay current with CMS regulations, payer requirements, HIPAA standards, and industry best practices

Skills

Medical Billing

Medicare/Medicaid knowledge

Accounts receivable

Home health billing

Organization

Education

High school diploma or equivalent

Job description

Clarion Forest VNA, Inc. is a compassionate, community-focused home health and hospice non-profit agency serving patients and families in the Clarion and Forest County areas.

This role ensures accurate billing, timely reimbursement, and regulatory compliance across Medicare, Medicaid, VA, commercial insurance, and private payors. Key duties include submitting claims, handling deadlines for Notices of Admission/Election, monitoring queues, resolving denials, and collaborating with clinical staff