Home Health Billing Specialist

Reliant at Home•Plano, TX

1d•Onsite

About The Position

Reliant at Home is a multi-site Home Health, Hospice, Caregivers, and Rehab company with 14 locations in Texas – including five Hospice locations (Fort Worth, Plano, Teague, The Woodlands, and San Antonio). The Reliant at Home Bluebird Promise is our commitment to live up to our higher calling by fulfilling our Values, Culture Priorities, and Service Pledge. Care is our higher calling. We believe care is more than the service we provide to patients who need help at home. It also means caring for our Reliant at Home family, the families and loved ones of the patients we serve, our referral partners and providers, and our local communities. Serving others is what we were meant to do. Join Reliant at Home’s winning culture - named on the Fortune Best Workplaces for Aging Services in the USA in 2020 (#10), 2022 (#15), and 2023 (#11) and a certified Great Place to Work 2020, 2021, 2022, 2023, 2024, 2025, and 2026! The Home Health Billing Specialist is responsible for ensuring accurate and timely submission of home health care claims, managing accounts receivable, and resolving billing issues. This role involves working closely with clinical staff, insurance companies, and patients to ensure compliance with federal, state, and payer-specific regulations.

Requirements

High school diploma or GED required
Experience in Home Health billing and collections
Knowledge of Medicare, Medicaid, and private insurance billing procedures.
Familiarity with billing software Inovalon and HCHB EMR systems
Proficiency in medical coding (ICD-10, CPT, HCPCS) and understanding of OASIS documentation

Nice To Haves

associate degree in healthcare administration, accounting, or a related field preferred.

Responsibilities

Prepare and submit claims for home health services to Medicare, Medicaid, private insurance, and other payers.
Verify patient insurance information and ensure proper documentation for claim submission.
Monitor accounts receivable and follow up on unpaid claims.
Identify and resolve billing discrepancies or denials in a timely manner.
Ensure billing practices comply with Medicare and Medicaid regulations, as well as other payer requirements.
Stay updated on regulatory changes related to home health billing and reimbursement.
Maintain accurate patient records and documentation.
Work with insurance companies to resolve payment issues.
Generate and review financial reports related to billing and accounts receivable.
Track key performance indicators (KPIs) such as claim submission turnaround and denial rates.