Job Description
About the Role
We are seeking a detail-oriented Billing Specialist to join our Home Health team. This is a remote position open only to candidates residing in California or Nevada. The Billing Specialist will support our clinicians and operations by managing accurate and timely billing processes for Medicare, Medi-Cal, Managed Care, and commercial payers. This role ensures compliance with PDGM guidelines and payer requirements , helping maintain smooth revenue cycles and supporting high-quality patient care.
Responsibilities
Prepare and submit accurate home health claims to Medicare, Medicaid, and private payers.
Verify billing details, including physician orders, OASIS documentation, visit notes, and authorization requirements.
Track accounts receivable and follow up on unpaid or denied claims, including resubmissions and appeals.
Communicate with patients, clinicians, and insurance representatives to resolve billing inquiries.
Maintain accurate billing records and stay current with payer rules and regulatory updates.
Collaborate with intake and medical records to ensure documentation is complete before billing.
Minimum Qualifications
High school diploma or equivalent; associate degree in healthcare administration or related field preferred.
2+ years of experience in medical billing, preferably in home health or hospice.
Familiarity with home health EHR/billing systems
Strong understanding of Medicare/Medicaid billing, PDGM, OASIS, CPT/ICD-10 coding.
Excellent organizational and communication skills with high attention to detail.
Preferred Qualifications
Certification (e.g., CPB, CMRS) a plus.
Experience with multiple payers, including Managed Care.
Knowledge of denial management and billing audits.
Benefits
Remote position (work from home).
Medical, dental, and vision insurance.
401(k) with employer match.
Paid Time Off (PTO) + holidays.
Supportive, collaborative team environment.
...yourself at a professional crossroads, a career as a financial advisor may be the right change for you. Financial advisors partner with... ...develop and grow your own practice, supported by your branch team, a home-office team and other regional financial advisors. You'll...
...Job Description Job Description The Social Media Community Manager will be responsible for building and maintaining our brands online presence... ...and address potential PR issues or negative feedback. Work with internal teams to craft thoughtful responses to sensitive...
...Job Description As a Senior Game Designer you will leverage your experience to design, craft, and optimize in and out of game experiences that engage and surprise players. You will collaborate with interdisciplinary teams and work with every tool at hand to innovate...
...opportunities to engage with the community, this position offers a rare blend of culinary creativity, wellness, and sustainability. Private Chef Benefits and Compensation We offer a competitive package designed to support both your professional and personal well-being,...
...One of the fastest-growing Building Technology integrators in Tennessee continues to grow, and is looking for a Tenured Access Control Specialist to handle repair, troubleshooting, and programming for clients in the RTP area. This organization provides elite installation...