Remote Billing Specialist — Home Health & Hospice

Aegis Health; Mesa (AZ); Hybrid; USD 37,000 - 41,000; Full time

Benefits offered by this job

22 days PTO

Medical insurance

Dental insurance

Vision insurance

401(k) with employer matching

Life insurance

Disability insurance

Referral bonuses

Job summary

Aegis Healthcare is seeking a detailed Billing Specialist for our Home Health and Hospice programs. The role covers Medicare, Medicaid, commercial payer billing, and other payer arrangements, guiding claims from intake to payment resolution while collaborating with cross-functional teams.

The ideal candidate will have 3+ years of hands-on billing experience in home health or hospice, strong payer knowledge, and proficiency with electronic health records and billing portals.

Qualifications

• Three years of hands-on home health or hospice billing and revenue cycle experience.
• Experience with Medicare, Medicaid, managed care or commercial payer billing.
• Ability to resolve complex payer issues and document corrective actions.
• Proficiency with electronic health records and billing portals.
• Strong organization and communication skills.

Responsibilities

• Own assigned home health and hospice billing queues from eligibility and authorization review through final claim, payment, and account closure. Verify coverage, payer order, patient and provider information, contract terms, and payer specific billing requirements.
• Prepare, submit, and track required Medicare notices and monitor acceptance and resolve errors before deadlines.
• Prepare and submit initial, interim, final, adjustment, and corrected Home Health and Hospice claims for all assigned payers.
• Apply current payer rules, state program requirements, contracts, clearinghouse edits, and internal policies. Track payer changes and identify when workflows or staff instructions need to change.
• Check for required billing elements and documentation status, including orders, certifications and recertifications, face to face documentation where applicable, election documents, and plan of care status.
• Monitor OASIS and HOPE submission or acceptance status when it affects billing or reimbursement, and elevate missing, rejected, or late items to the responsible team.
• Investigate clearinghouse and payer edits, returned claims, rejections, denials, underpayments, overpayments, authorization failures, eligibility conflicts, and payment discrepancies.
• Coordinate documentation requests, additional development requests, medical reviews, appeals, and audit support within assigned billing scope.

Skills

Billing

Revenue cycle

Payer knowledge

Analytics

Tools

Electronic health record

Clearinghouse

Medicare billing portal

Job description

Aegis Healthcare is seeking a detailed Billing Specialist for our Home Health and Hospice programs. The role covers Medicare, Medicaid, commercial payer billing, and other payer arrangements, guiding claims from intake to payment resolution while collaborating with cross-functional teams.

The ideal candidate will have 3+ years of hands-on billing experience in home health or hospice, strong payer knowledge, and proficiency with electronic health records and billing portals.