Revenue Cycle and Billing Specialist

BrightStar Care of Louisville•Douglass Hills, KY

13h

About The Position

BrightStar Care of Louisville is seeking an experienced Revenue Cycle & Billing Specialist to take ownership of key billing, accounts receivable, payment, and payroll-related functions for our growing home care agency. This position requires someone who is highly organized, persistent, detail-oriented, and comfortable independently researching and resolving complex billing issues. The ideal candidate will have strong experience with KY Medicaid and managed care billing and will take ownership of claims from initial submission through final payment. This role may be structured initially as a part-time contract or contract-to-hire position for the right candidate, with the opportunity to transition into a full-time internal role.

Requirements

5+ years of medical billing, revenue cycle, accounts receivable, or related experience preferred
Strong Medicaid and managed care billing experience
Demonstrated experience resolving denials and recovering aged receivables
Experience communicating directly with insurance carriers and payer representatives
Strong analytical and problem-solving skills
Exceptional attention to detail
Ability to independently prioritize a large volume of outstanding accounts
Strong Excel and reporting skills
Ability to handle confidential financial and patient information appropriately
Experience with ACH/payment processing and payroll administration is preferred
Ability to communicate clearly and professionally with ACH pay clients regarding their account

Nice To Haves

Home care, home health, private duty nursing, hospice, or other healthcare services
Kentucky Medicaid
Medicaid Managed Care Organizations
Private Duty Nursing billing
Electronic Visit Verification (EVV)
Denials and appeals
Aged A/R recovery
Use of Availity Clearinghouse
Payroll processing or payroll data submission
ACH/client payment processing

Responsibilities

Manage insurance accounts receivable from claim submission through payment
Monitor aging A/R and proactively pursue outstanding balances
Research, correct, and resubmit denied or rejected claims
Prepare and submit appeals and supporting documentation
Follow up directly with insurance carriers regarding unpaid and underpaid claims
Work payer portals, clearinghouses, and other billing systems to resolve claim issues
Identify recurring denial trends and recommend corrective actions
Ensure secondary claims are submitted appropriately and timely
Maintain detailed documentation of collection and follow-up activity
Provide regular reporting on outstanding A/R, collections, denials, and unresolved payer issues
Manage billing and follow-up for Medicaid and Medicaid Managed Care claims
Research eligibility, authorization, claim, and payment discrepancies
Work directly with Medicaid MCOs to resolve denied or unpaid claims
Maintain knowledge of payer requirements, billing rules, authorization requirements, and timely filing deadlines
Assist with resolving complex or aged Medicaid receivables
Process ACH billing and electronic client payments
Maintain accurate payment records and reconcile payments to outstanding balances
Research and resolve failed, returned, or incorrect ACH transactions
Ensure payments are accurately posted to client accounts
Maintain appropriate documentation and internal controls related to payment processing
Prepare and submit weekly payroll data accurately and on schedule
Review payroll information for completeness and identify discrepancies prior to submission
Coordinate with operations and scheduling staff to resolve payroll-related discrepancies
Maintain accurate payroll documentation and reporting
Assist with payroll reconciliation and correction of errors as needed