Home Care Billing and Collections Specialist
About The Position
Parx Home Care is looking for a talented Billing Specialist to join our amazing team! We are seeking a detail-oriented Home Health Billing Specialist to manage and oversee the billing process for our home health and home care services. This role will focus primarily on following up on outstanding claims, resolving billing issues, and helping ensure timely payment for home care services provided under Florida Medicaid Long-Term Care plans. The ideal candidate will have some experience in medical billing, accounts receivable, insurance follow-up, Medicaid, or home care. Experience with HHAeXchange, Tellus, or Florida Medicaid LTC plans is strongly preferred, but we are willing to train the right person.
Requirements
- High school diploma or equivalent
- Home health billing experience preferred.
- Knowledge of Medicare, Medicaid, and commercial insurance billing processes.
- Proficiency in billing software and electronic health record (EHR) systems
- Strong attention to detail and analytical skills.
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a team.
- This position requires background screening through Florida’s Care Provider Background Screening Clearinghouse.
Nice To Haves
- an associate’s degree in healthcare administration or related field preferred.
- Experience with HHAeXchange, Tellus, or Florida Medicaid LTC plans is strongly preferred
Responsibilities
- Maintains compliance with applicable federal, state, and local rules and regulations.
- Consistently follows Agency policies and procedures to set an example for employees, as well as maintains communication with employees to ensure the understanding of policies and procedures.
- Prepare and submit claims to Medicare, Medicaid, and private insurance companies in accordance with payer guidelines.
- Accurately post payments, adjustments, and denials to patient accounts.
- Monitor accounts receivable aging reports and follow up on unpaid claims to ensure timely collections.
- Ensure all billing practices comply with federal and state regulations and industry standards.
- Address patient inquiries related to billing, insurance coverage, and payment options in a professional manner.
- Review clinical documentation for accuracy and completeness to support billing processes.
- Work closely with clinical staff and operational team to resolve billing discrepancies and improve processes.
- Generate and analyze billing reports to identify trends, discrepancies, and areas for improvement.
- Participation in mandatory in-services.
- Performs other necessary functions/duties as assigned by Senior leadership.
Benefits
- Health, Vision, Dental Benefits
- CVS Virtual Care: Accessible Care, when and where people need it; includes Mental Health Counseling
- 401K plus Employer Contribution
- Teladoc: 24/7 Doctor Support (phone or video)
- Voluntary Life Insurance
- Critical Illness, Group Hospital Indemnity, Accident Insurance
- LegalShield (Free Legal Advice)
- IDShield (Identity Protection)
- Pet Insurance
- Flexible Spending Account/Health Savings Account
- Commuter Benefits
- Employee Assistance Program/Health Concierge Services
- Working Advantage (Employee Discounts)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
