Medical Billing & Accounts Receivable Specialist

Aluma Home Care•Valley Stream, NY

16h

About The Position

Aluma Home Care is seeking an experienced, detail-oriented Medical Biller to manage the day-to-day billing and collections process. The position covers claim submission, payment posting, denial management, accounts receivable follow-up, and reconciliation. The successful candidate will take ownership of billing issues, investigate and resolve them independently, and help ensure accurate claims and timely collections. The role works with Medicaid and managed care billing and collaborates with the operations team to resolve documentation and billing discrepancies. Aluma Home Care is a growing home care agency providing non-medical home care services. The posting describes a rapidly growing organization with evolving processes, a collaborative and professional work environment, and opportunities to take ownership of an important business function and grow as the company expands.

Requirements

At least 2 years of experience in medical billing, preferably Medicaid or managed care.
Strong understanding of medical billing and the revenue cycle process.
Experience with electronic claims submission, denial management, and accounts receivable follow-up.
Ability to independently troubleshoot and resolve billing issues.
Strong attention to detail, organizational skills, and follow-through.
Proficiency with billing software, payer portals, and Microsoft Excel.
Excellent communication and problem-solving skills.

Nice To Haves

Experience billing for home care, home health, or personal care services.
Familiarity with Ohio Medicaid and managed care organizations, including CareSource, Buckeye Health Plan, Molina, and other Ohio payers.
Experience with KanTime, Inovalon, or similar billing platforms.
Knowledge of electronic visit verification (EVV), service authorizations, and Medicaid waiver programs.
Familiarity with electronic claims (837), remittance files (835), and clearinghouse rejection resolution.

Responsibilities

Prepare, review, and submit medical claims accurately and on time.
Manage billing for Medicaid and managed care organizations (MCOs).
Monitor claim status and follow up on unpaid, rejected, or denied claims.
Investigate billing discrepancies, identify root causes, and implement solutions.
Review remittance advice (ERA/EOB) and post payments and adjustments accurately.
Manage accounts receivable, including aging reports and outstanding balances.
Work with insurance companies to resolve claim issues and secure timely reimbursement.
Reconcile billed services against authorizations, service records, and payments.
Identify and correct billing errors involving authorizations, eligibility, coding, and electronic claim submissions.
Collaborate with the operations team to resolve documentation and billing discrepancies.
Maintain accurate billing records and prepare reports on collections, denials, and outstanding claims.
Improve billing processes to reduce denials and accelerate collections.