Home Health Billing and Accounts Receivable Specialist
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Job Description
Home health billing specialist managing Availity claims, denials, payments, and aged A/R. Supporting a revenue cycle company serving Illinois home care agencies remotely.
Responsibilities:
- Verify Medicaid eligibility, payer assignment, authorizations, service codes, and approved units
- Submit clean claims to Medicaid managed care plans and commercial payers
- Correct claim rejections and submit corrected claims
- Use Availity daily for eligibility, claim status, remittances, denials, and payer inquiries
- Investigate and resolve denials and underpayments, including appeals and payment disputes
- Follow up on unpaid and aged A/R by payer portal and phone
- Track timely filing deadlines
- Post and reconcile ERAs and EOBs against expected reimbursement
- Reconcile visits, authorized units, and billed units to identify unbilled or incorrectly billed services
- Prepare A/R aging, denial, and collections reports in Excel or Google Sheets
- Document account activity and escalate payer issues to the team lead
- Protect patient information and follow HIPAA requirements
- Manage multiple agency accounts for home care clients
Requirements:
- At least 2 years of U.S. home health billing experience
- Strong, hands-on Availity experience, including claim status, remittances, and denials
- Experience billing Medicaid managed care plans (MCOs)
- Proven experience in denial management and A/R follow-up
- Familiarity with commercial insurance and government health plans
- Strong Excel or Google Sheets skills
- Strong written and spoken English, including payer calls and written disputes
- Excellent attention to detail and follow-up skills
- Ability to work independently and manage multiple agency accounts
- Reliable internet connection and a suitable remote workspace
- Must be available during Central Time business hours
- Preferred: Experience billing nonmedical home care, personal care, or HCBS waiver services
- Preferred: Familiarity with Illinois Medicaid and Illinois Medicaid MCOs such as Aetna Better Health, Blue Cross Community Health Plans, Molina, Meridian, or CountyCare
- Preferred: Experience using HHAeXchange, AxisCare, CareSmartz360, CareTime, or Axxess
- Preferred: Experience with EVV visit reconciliation and authorization tracking
Benefits:
- Remote work arrangement
- Full-time employment
- Opportunity to support a revenue cycle company serving home care agencies
- Philippines-based applicants preferred
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