Home Health Billing Clerk

Job Summary We are seeking a detail-oriented and organized Home Health Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing billing processes, ensuring accurate and timely submission of claims, and maintaining patient records. The Home Health Medical Biller is responsible for overseeing the billing and revenue cycle management processes for both skilled and non-skilled home health services. This role ensures accurate claim submission, denial management, timely payments, and compliance with payer guidelines. The Home Health Medical Biller supports, trains, and monitors billing and claims specialists to achieve productivity, quality, and reimbursement goals, while acting as the main point of escalation for claim resolution. Responsibilities Works on billing operations for home health skilled (RN, PT, OT, ST, MSW, HHA) and non-skilled (Personal Care) services. Ensure accurate and timely submission of claims to Medicare, Medicaid, Commercial Insurance. Review and resolve claim denials, rejections, and underpayments. Ensure compliance with state, federal, and payer-specific billing regulations Prepare and submit accurate billing claims to insurance companies and government agencies. Review patient records for completeness and accuracy before billing. Maintain detailed records of all billing transactions and correspondence. Stay updated on changes in healthcare regulations and billing procedures to ensure compliance. Collaborate with healthcare providers to clarify any issues related to billing or coding. Reporting & Communication Prepare weekly/monthly reports for management (billing productivity, outstanding claims) Collaborate with intake, authorization, and clinical teams to ensure complete and accurate billing data. Communicate with payers on escalated claims and reimbursement issues. Experience High School Diploma required Knowledge of Medicare, Medicaid, and Commercial Insurance Strong understanding of home health revenue cycle processes Experience with EMR systems Proficiency in payer portals (i.e. Availity, United Healthcare etc.) Excellent organizational and time-management skills. Strong problem-solving and analytical abilities for claim resolution. Effective written and verbal communication. Intermediate Excel skills (reporting, reconciliation). Familiarity with medical terminology, coding systems (such as

ICD-10, CPT

), and insurance processes is a plus. Strong attention to detail and ability to work independently while managing multiple tasks. Preferred Qualifications Experience with both home health skilled (clinical services) and non-skilled/personal care services billing. Ability to work independently and manage multiple priorities.

Pay:

$14.00 - $15.00 per hour

Work Location:

In person