Remote Reimbursement Specialist (Home Health Billing)

Addus HomeCare; Frisco (TX); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental & Vision

PTO Plan

Retirement Planning

Life Insurance

Job summary

Addus HomeCare is seeking a Reimbursement Specialist (Home Health) to drive billing and revenue cycle activities. You will investigate insurance benefits for new referrals, handle authorizations, and submit claims while coordinating with payers, patients and providers for timely reimbursement.

The role requires home health billing knowledge, EVV familiarity, and strong experience with Medicare/Medicaid regulations to ensure compliant, accurate claim processing.

Qualifications

• High school diploma or equivalent required; undergraduate degree preferred.
• 5 years of healthcare collections/billing experience preferred.
• Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial).
• Ability to read and interpret EOBs, remittances, and denial codes.
• Effective payer follow-up and escalation strategies.
• Ability to resolve claim holds, rejections, and denial.
• Root-cause analysis to prevent recurring issues.
• High attention to detail to ensure clean claims.

Responsibilities

• Billing and revenue cycle management for home health referrals.
• Authorization requests and claim submissions across payers.
• Communicate with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solutions.
• Review unpaid accounts to determine status and take appropriate actions to ensure payment.
• Maintain compliance with Medicare, Medicaid, HIPAA regulations and internal policies.

Skills

Healthcare billing

Home Health billing

EVV knowledge

Medicare/Medicaid billing

Payer follow-up

Data entry accuracy

Confidentiality

Communication with payers

Education

High school diploma or equivalent

Undergraduate degree preferred

Tools

MS Office

Job description

Addus HomeCare is seeking a Reimbursement Specialist (Home Health) to drive billing and revenue cycle activities. You will investigate insurance benefits for new referrals, handle authorizations, and submit claims while coordinating with payers, patients and providers for timely reimbursement.

The role requires home health billing knowledge, EVV familiarity, and strong experience with Medicare/Medicaid regulations to ensure compliant, accurate claim processing.