Medical Billing Specialist - Home Health (Medicaid, VA & EVV)
About The Position
We are seeking an experienced Home Health Medical Billing Specialist to support Medicaid, VA, and Private Pay revenue cycle operations. This role focuses on EVV-based billing, claims management, accounts receivable, and denial resolution in a fast-paced home care environment. The ideal candidate has strong experience in medical billing, Medicaid claims, and Revenue Cycle Management (RCM), preferably in home health or community-based care. The Medical Billing Specialist is responsible for managing the full home health revenue cycle, including EVV-verified visit billing, Medicaid and VA claims submission, payment posting, denial resolution, and AR follow-up. This role requires strong attention to detail, knowledge of home care billing workflows, and the ability to manage multiple payer systems in a fast-paced environment.
Requirements
- 2+ years of medical or healthcare billing experience
- Strong understanding of Revenue Cycle Management (RCM)
- Experience with claims submission, AR follow-up, and payment posting
- Knowledge of Medicaid billing requirements
- Proficiency in Microsoft Excel
- Strong attention to detail, accuracy, and organization
Nice To Haves
- Experience with home health or home care billing
- Familiarity with EVV (Electronic Visit Verification) systems
- Experience with HCBS or Medicaid waiver programs
- Experience with VA home care billing
- Background in home health, personal care services (PCS), or community-based care
- Experience with home health billing software or EHR/EMR systems
Responsibilities
- Submit and manage claims for home health services (Medicaid, VA, Private Pay)
- Process EVV-verified visit data for accurate billing
- Monitor claims and resolve denials, rejections, and underpayments
- Manage accounts receivable (AR) follow-up and collections
- Post payments and reconcile billing accounts
- Verify authorizations prior to billing
- Collaborate with scheduling, clinical, and operations teams to resolve billing discrepancies
- Maintain accurate billing documentation for audit readiness
- Assist with month-end reporting and revenue cycle audits
- Ensure compliance with Medicaid waiver, VA, and payer regulations
Benefits
- Competitive wages and benefits packages.
- Opportunities for professional development and career advancement.
- Supportive and collaborative work environment.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
