Medical Biller for Home Health Care Agency

Old Glory Home Health Care & Assistive Care•RICHMOND, VA

5d•Hybrid

About The Position

We are seeking a detail-oriented and motivated Medical Biller to join our growing home health care team. In this role, you will be responsible for processing and managing insurance claims, verifying billing information, following up on unpaid claims, and assisting patients and staff with billing-related questions. The ideal candidate is organized, dependable, and comfortable communicating with insurance companies, physicians’ offices, clinicians, and patients. Experience with Medicare, Medicaid, and managed care billing in a home health setting is strongly preferred.

Requirements

Previous medical billing experience required
Strong attention to detail and organizational skills
Excellent communication and customer service abilities
Ability to prioritize tasks and manage multiple deadlines
Comfortable working independently and as part of a team
Proficiency in Microsoft Office and general computer skills
Understanding of HIPAA and patient confidentiality standards

Nice To Haves

Home health billing experience strongly preferred
Knowledge of Medicare, Medicaid, EVV, PDGM, and managed care billing processes preferred
Experience with EMR or billing software systems preferred

Responsibilities

Process and submit medical claims for Medicare, Medicaid, commercial insurance, and managed care plans
Review claims for accuracy, completeness, and compliance prior to submission
Follow up on unpaid, denied, or rejected claims and assist with appeals and corrections as needed
Verify patient insurance coverage, eligibility, authorizations, and billing requirements
Communicate with insurance companies regarding claim status, payment discrepancies, and authorization issues
Work closely with clinicians, intake staff, physicians’ offices, and hospitals to obtain required documentation and orders
Post payments, adjustments, and denials accurately into the billing system
Maintain accurate patient billing records and documentation
Assist patients and families with billing questions and insurance-related concerns in a professional and compassionate manner
Monitor accounts receivable and assist with collection efforts when appropriate
Maintain confidentiality and compliance with HIPAA regulations
Support the administrative team with additional office and billing duties as assigned