Reimbursement Specialist [MOW]

Visiting Nurse Association of Texas; Dallas (TX); On-site; USD 48,000 - 60,000; Full time

Job summary

The Visiting Nurse Association of Texas is seeking an experienced Biller/Collector to own the revenue cycle from initial billing to final reimbursement, including collections, denial management, and payer communications.

You will verify eligibility, submit clean claims, track aging, and collaborate with Intake, Operations, and Accounting to resolve billing barriers while supporting hospice billing as needed. The role offers a competitive salary and comprehensive benefits.

Qualifications

• High school diploma or GED required; Associate degree in Healthcare Administration, Medical Billing, Accounting, or a related field preferred.
• 3–5 years of healthcare billing and collections experience required.
• Strong accounts receivable background working with Medicaid, managed care organizations, grants, and third-party payers.
• Knowledge of HCPCS codes, modifiers, and electronic claim submission.
• Experience with TMHP, Availity, Molina, Superior, or MatrixCare is a strong plus.
• Prior hospice billing and collection experience is preferred.

Responsibilities

• Accurate Billing & Submissions: Verify eligibility, authorizations, units, and HCPCS codes to submit clean electronic claims, billing files, and invoices for assigned payers.
• Active Collections & Follow-Up: Work assigned accounts receivable monthly with an emphasis on aged accounts, following up with Medicaid managed care plans, government programs, and third-party payers.
• Denials & Discrepancy Resolution: Research and resolve claim rejections, underpayments, authorization barriers, and appeals.
• Reconciliation & Documentation: Reconcile billed services, payments, and adjustments, maintaining clear documentation of all collection activity and payer interactions.
• Cross-Department Support: Collaborate with Intake, Operations, and Accounting to resolve billing barriers, and cross-train to support hospice billing as needed.

Job description

Turn your healthcare billing expertise into immediate community impact with the Visiting Nurse Association of Texas.

At the Visiting Nurse Association of Texas (VNA), our Meals on Wheels program delivers vital nutrition and independence to homebound seniors across North Texas. We are seeking an experienced Biller/Collector to take direct ownership of assigned accounts throughout the entire revenue cycle—from initial billing through final reimbursement.

This is not simply a claim-entry role; you will actively manage collections, track aged accounts, resolve denials, and partner across teams to ensure our mission remains fully funded.

We offer a competitive salary with mileage reimbursement and a comprehensive benefits package, including medical, dental, vision, and short- and long-term disability coverage. Employees also receive a 401(k) with a 6% company match and two-year vesting, generous PTO with six paid holidays and flexible days, professional development and education reimbursement opportunities, and the support of a mission-driven work environment.

How You'll Make an Impact:

• Accurate Billing & Submissions: Verify eligibility, authorizations, units, and HCPCS codes to submit clean electronic claims, billing files, and invoices for assigned payers.
• Active Collections & Follow-Up: Work assigned accounts receivable monthly with an emphasis on aged accounts, following up with Medicaid managed care plans, government programs, and third-party payers.
• Denials & Discrepancy Resolution: Research and resolve claim rejections, underpayments, authorization barriers, and appeals.
• Reconciliation & Documentation: Reconcile billed services, payments, and adjustments, maintaining clear documentation of all collection activity and payer interactions.
• Cross-Department Support: Collaborate with Intake, Operations, and Accounting to resolve billing barriers, and cross-train to support hospice billing as needed.

What We’re Looking For:

• Education:High school diploma or GED required; Associate degree in Healthcare Administration, Medical Billing, Accounting, or a related field preferred.
• Experience: 3–5 years of healthcare billing and collections experience required.
• Payer Knowledge: Strong accounts receivable background working with Medicaid, managed care organizations, grants, and third-party payers.
• Systems & Coding: Knowledge of HCPCS codes, modifiers, and electronic claim submission. Experience with TMHP, Availity, Molina, Superior, or MatrixCare is a strong plus.
• Hospice Billing: Prior hospice billing and collection experience is preferred.
• Requirements:
  • Able to successfully pass background check.

The Visiting Nurse Association of Texas is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other status protected by federal, state, or local law.