Billing Specialist

Billing Specialist Caregiver's Home Solutions - 3.0 Shelton, CT Job Details Full-time $21 - $23 an hour 1 day ago Benefits Free parking On-site gym Qualifications Microsoft Word Health insurance authorizations Spanish HIPAA compliance Microsoft Outlook Medicare Medical software Spreadsheets HIPAA Patient management software Client file management Medical billing compliance checks Research Mid-level Financial issue resolution Client invoicing Medical administrative support Financial records management Financial record maintenance Coordinating with insurance clients QuickBooks Data verification Organizational skills Management reporting Medical claims submission Medicaid Billing issue inquiries Clinical confidentiality policies Medical claim denial management Payment processing in medical billing systems Full Job Description Billing Specialist Location Shelton, Connecticut (On-site) Job Type Full-Time Compensation $21.00 - $23.00 per hour About Caregiver's Home Solutions (CHS) At CHS, we live by one mission: Be Safe. Be Well. Be Home. Since 2007, our family-owned homecare agency has proudly supported Connecticut's seniors and families with compassion, dedication, and exceptional service. Join us in our modern Shelton office featuring: Free membership to an in-building 24/7 gym Discounted childcare services on-site In-building breakfast/lunch café Plenty of free parking Convenient access to Route 8 Position Overview Caregiver's Home Solutions (CHS) is seeking a detail-oriented and dependable Billing Specialist to support billing operations in our Shelton, CT office. The ideal candidate will have experience with healthcare billing, Medicaid Waiver billing, and claims processing in a fast-paced office environment. Sandata experience is strongly preferred. This position will serve as the primary biller for Medicaid Waiver clients utilizing the following systems: AxisCare Sandata (Connecticut's Electronic Visit Verification system) DSSMaps portal This role will also serve as a backup biller for non-Medicaid Waiver clients across various payer sources, including: Private-pay clients, including Long-Term Care Insurance reimbursement claims submission support DSS clients through Social Work Services / Protective Services for the Elderly (PSE) programs Respite Grant clients through Agencies on Aging and various organizations (e.g., the Alzheimer's Association) Veterans through the VA Community Care Network Respite clients through Medicare's GUIDE Model partnerships (e.g., Connecticut Hospice/Stand By Me and PocketRN) This is a fully on-site position reporting to the Managing Director. Key Responsibilities Input data and prepare claims in AxisCare for billing purposes within Sandata and DSSMaps Create, review, and export invoices in AxisCare system for processing finalized claims with Sandata Confirm shifts worked to ensure accurate and timely billing Research and resolve billing inconsistencies, denied claims, and payment discrepancies Maintain client billing records and all supporting documentation Secure and verify prior authorizations, eligibility, and required billing documentation Provide daily billing updates and reports for management review Provide daily billing issues status report for management review Collaborate with internal departments, as well as external payors as needed, to resolve billing concerns and improve workflow efficiency Collect and maintain compliance-related documentation as needed Communicate professionally, clearly, and thoroughly with clients, payers, and internal staff regarding billing matters Always maintain confidentiality and HIPAA compliance Perform additional billing and administrative projects as assigned Qualifications Bilingual Spanish preferred Minimum of 2-3 years of billing, bookkeeping, healthcare billing, or related experience preferred Experience with Medicaid Waiver billing strongly preferred Experience with Sandata and DSSMaps systems is strongly preferred Experience in home care, healthcare, or service industry billing preferred Familiarity with AxisCare software is a plus Strong computer skills including Microsoft Excel, Word, Outlook, and QuickBooks Excellent attention to detail and organizational skills Ability to multitask and work efficiently in a fast-paced environment Strong written and verbal communication skills Professional, dependable, and team-oriented attitude Ability to maintain confidentiality in all aspects of the role Work Environment & Schedule Full-time, Monday through Friday 8:30 AM - 5:00 PM Fully on-site in Shelton, CT Primarily sedentary work involving extended periods at a computer Why Join CHS? At CHS, we believe our employees are the foundation of our success. We foster a supportive, team-oriented culture where hard work, professionalism, and dedication are recognized and rewarded. If you are looking for an opportunity to grow your billing career while making a meaningful impact, we encourage you to apply.