Billing Specialist - Home Health

Transition Home Healthcare•Houston, TX
•Onsite

About The Position

Transition Home Healthcare and Pathways Hospice is seeking an organized, self-driven Billing Specialist to support billing, collections, and accounts receivable operations for home health and hospice. This onsite position is based in Houston, Texas. The role works to ensure accurate and timely billing and patient account records, effective reimbursement and collections, and a positive service experience for patients and families. The specialist maintains working knowledge of billing systems, insurance requirements, and payor contracts; protects confidential information; and reports key billing information to the Director of Revenue Cycle Management.

Requirements

  • At least one year of experience with billing processes, accounts receivable, prior authorizations, and billing systems in home health or hospice.
  • Knowledge of different insurance and HMO plans, with the ability to research complex issues.
  • Working knowledge of home health insurance, authorization, and appeals requirements.
  • Proficiency with Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
  • Strong communication and interpersonal skills.

Nice To Haves

  • Experience with the Homecare Homebase (HCHB) EMR.

Responsibilities

  • Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
  • Update billing and patient account records accurately and promptly in multiple EMR systems.
  • Document follow-up and other necessary information in patient accounts.
  • Work aged accounts receivable, resubmit bills on overdue accounts, and refer significantly delinquent accounts to a supervisor for further collection.
  • Gather, collate, and report key billing information to the Director of Revenue Cycle Management.
  • Maintain comprehensive working knowledge of the billing information system, including upgrades and enhancements.
  • Establish and maintain positive working relationships with patients, family members, payors, and referral sources.
  • Maintain knowledge of insurance company and authorization requirements.
  • Understand payor contracts and bill payors according to contract provisions.
  • Protect the confidentiality of patient and organizational information through effective controls and direct supervision of billing operations.
  • Complete other tasks as required and designated by a supervisor and/or administrator.

Benefits

  • Competitive pay
  • Generous paid time off and holidays
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • LTD/AD&D insurance
  • Short-term disability
  • Supplemental insurance options, including hospital indemnity, cancer policies, and legal plans
  • 401(k) with matching
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