Billing Specialist

PARADIGM SENIOR SERVICES INC•North Miami, FL

32d•$55,000 - $65,000•Onsite

About The Position

At Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid, we ultimately enhance the quality of care for seniors, veterans, and underserved communities. We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence. We're on a mission to revolutionize home care and are looking for passionate individuals to help us make a lasting, positive impact. The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on precise claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean claim rates. The ideal candidate will have a strong understanding of medical billing practices and payer requirements. This position reports to the Medicaid Billing Manager.

Requirements

Experience working in billing and health care preferred
Customer service experience preferred
Excellent follow-up, time management, and communication skills required
Proficiency in MS Office Suite (Outlook, Word, Excel) is required

Responsibilities

Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
Ensure all claim details are complete and error-free, including coding, provider information, and service dates
Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
Ensure compliance with industry regulations, payer policies, and internal billing procedures
Maintain accurate and organized billing records and documentation
Identify and report billing trends, potential errors, and areas for process improvement
Collaborate with internal teams to standardize billing practices and enhance efficiency
Support billing audits and internal quality control measures
Other duties as assigned