Home Health Billing Specialist

BEACON HOME HEALTH • Mount Juliet, TN

2d

About The Position

The Home Health Billing Specialist performs all billing functions for the agency, ensuring claims are accurate and submitted on time to all payers. The role supports revenue cycle success and requires knowledge of home health and hospice billing rules. The specialist conducts pre-billing audits, prepares and reviews electronic claims, and helps address delayed, short-paid, or denied payments. The role also communicates with the accounting department about cash receipts, month-end closing, and billing metrics, and stays current with applicable regulations and payment-model changes. Other appropriate services and special projects may be assigned. The position may be based in Mt Juliet, Spring Hill, or Cookeville and is full-time.

Requirements

• At least two years of dedicated medical billing and claims submission experience; home health or hospice billing experience is strongly preferred.
• Ability to submit and manage claims for Medicare, Medicaid, and commercial insurance.
• Proficiency using an Electronic Medical Record (EMR), billing systems, and clearinghouses for electronic claim submission.
• Working knowledge of ICD-10, CPT, and revenue codes as they relate to home health and hospice services.
• Ability to meet the physical requirements of the job, including lifting over 20 pounds and the reasonable ability to stand, walk, sit, use hands, reach, balance, see, talk, hear, and drive.
• Commitment to privacy, confidentiality, ethical conduct, accurate financial reporting, and compliance with applicable requirements.

Nice To Haves

• Formal training or certification in Medical Billing and Coding, such as CPC, COC, or CPB.
• Experience with claims reconciliation and denial resolution.
• Exceptional attention to detail and commitment to 100% claim accuracy.
• Strong analytical and mathematical skills for reconciliation and payment posting.
• Strong organizational skills and ability to manage high-volume submission deadlines.
• Proactive and persistent approach to resolving billing edits and rejections.

Responsibilities

• Conduct pre-billing audits to verify patient eligibility, authorization validity, and completeness of documentation.
• Prepare and review UB-04/CMS-1450 claims for electronic submission to Medicare, Medicaid, and commercial insurance carriers.
• Use appropriate ICD-10 diagnosis and revenue codes to meet payer requirements and minimize claim rejections.
• Work with the Collections team, or perform initial follow-up, on delayed, short-paid, or denied accounts and provide documentation to support recovery.
• Communicate with the accounting department about cash receipts, month-end closing procedures, and key billing metrics.
• Stay current on federal and state regulations, including PDGM for home health and hospice payment rates.
• Perform other appropriate services and special projects as assigned.
• May supervise the team managing collections from payers and patients after claims have been processed.
• Support and promote compliance with the Code of Conduct, protect confidential information and agency assets, report non-compliance, and follow applicable laws, regulations, and policies.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed