On-Site Medical Billing & Authorization Specialist

Evolving Solution Services; Rhode Island; On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Same-day pay

Medical coverage

Job summary

In Home Wellcare, a Rhode Island home care agency, seeks a Billing & Authorization Specialist to handle daily medical/home care billing, verify authorizations, track insurance changes, and submit claims. The role requires on-site presence and familiarity with the RI Medicaid portal.

You will work with Axxess, Inovalon, and NaviNet, handling eligibility checks and claims management. Sunday billing is required, with a collaborative office environment and same-day pay.

Qualifications

• Direct experience with medical or home care billing workflows.
• Proficiency with Axxess, Inovalon, NaviNet, and RI Provider Portal.
• Available Sundays to meet 8 PM billing deadlines; on-site work required; bilingual (Spanish/English) preferred.

Responsibilities

• Daily billing and issue tracking; submit claims and rebill as needed.
• EVV/time tracking oversight and accuracy checks.
• Manage authorizations and verify prior authorizations.

Skills

Medical billing

Attention to detail

Bilingual (Spanish/English)

Tools

Axxess

Inovalon

NaviNet

RI Provider Portal

Job description

In Home Wellcare, a Rhode Island home care agency, seeks a Billing & Authorization Specialist to handle daily medical/home care billing, verify authorizations, track insurance changes, and submit claims. The role requires on-site presence and familiarity with the RI Medicaid portal.

You will work with Axxess, Inovalon, and NaviNet, handling eligibility checks and claims management. Sunday billing is required, with a collaborative office environment and same-day pay.