Billing Specialist - HomeCare

Hartford HealthCare • Farmington, CT

12d

About The Position

Work where every moment matters.
Every day, almost 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network as a Billing Specialist.
Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our employees to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home. Most importantly, our employees are appreciated for the real differences they make in both the lives of their clients and their clients’ families.
The Home Health and Hospice Billing Specialist is responsible for accurately and efficiently managing billing processes for home health and hospice services. This role ensures timely submission of claims, resolves billing issues, and supports revenue cycle operations to optimize reimbursement and compliance.

Requirements

• High school diploma required.
• Minimum 2 years of billing experience in Home Health and/or Hospice required.
• The Billing Specialist must have Home Health and Hospice billing experience.
• Proficiency with HCHB EMR, clearinghouses such as DDE and Waystar.
• A strong understanding of Medicare, Medicaid, and commercial insurance billing.
• Excellent organizational, analytical, and communication skills.
• Ability to work independently and manage multiple priorities in a deadline-driven environment.

Nice To Haves

• Bachelor’s Degree Business Administration or related field Preferred.
• 2-5 years of experience preferably in Home Care preferred.

Responsibilities

• Prepare and submit accurate Medicare, Medicaid, and Commercial insurance claims through Home Care Home Base (HCHB) and Waystar billing platforms. Ensure compliance with Patient - Drive Groupings Model (PDGM) billing rules and payer-specific guidelines.
• Monitor, review, and follow up on claims, including aging accounts receivable, denied or rejected claims. Resubmit overdue accounts and escalate seriously overdue accounts to collections when necessary
• Collaborate with cross-functional teams including Intake, Authorization, Clinical, Operations Support Office (OSO), and Regional staff to ensure billing accuracy and resolve any discrepancies. Respond to billing inquiries from internal and external stakeholders.
• Participate in Accounts Receivable (AR) and Billing Accountability Meetings (BAM). Prepare and review relevant reports such as billing summaries, bad debt, and outstanding AR to ensure accuracy and completeness. Assist with audits and provide documentation as needed.
• Other duties as assigned related to billing and revenue cycle operations.

Benefits

• With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.
• Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.
• We know that a thriving organization starts with thriving colleagues-- we provide a competitive benefits program designed to ensure work/life balance.
• Every moment matters. And this is your moment

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees