We are seeking a dedicated Home Health Billing and Bookkeeping Specialist to manage our billing operations and financial recordkeeping. This role is vital for ensuring accurate billing of Medicare, commercial insurance, and private payors, along with resolving billing rejections, posting payments, and reconciling accounts. The specialist will also be responsible for negotiating contract rates and setting up payors in our system. Additional bookkeeping responsibilities include managing accounts payable and receivable, maintaining detailed financial reports, and conducting monthly account reconciliations.

Key Responsibilities:

• Manage billing processes for Medicare, commercial insurance, and private payors.
• Investigate and resolve billing rejections and discrepancies.
• Post payments and reconcile accounts to ensure financial accuracy.
• Negotiate contract rates with insurance providers and other payors.
• Set up new payor accounts in the billing system and maintain existing account information.
• Conduct bookkeeping tasks including managing accounts payable and receivable, ensuring timely payments to vendors and from clients.
• Maintain accurate and comprehensive financial records.
• Prepare monthly, quarterly, and annual financial statements.
• Reconcile bank statements and transaction records with internal accounts.
• Assist with financial audits and provide recommendations for process improvements.

Qualifications:

• Bachelor’s degree in Accounting, Finance, or a related field.
• Minimum of 3 years of experience in medical billing, specifically in home health care.
• Strong understanding of Medicare, Medicaid, and private insurance billing protocols and regulations.
• Experience with electronic billing systems, preferably specific to home health care.
• Proficient in standard accounting software and Microsoft Office Suite.
• Excellent analytical, problem-solving, and organizational skills.
• Strong communication and negotiation skills.
• Detail-oriented with a high degree of accuracy in handling financial data.

Preferred Qualifications:

• Certification in medical billing or accounting (e.g., CPB, CPA).
• Experience in financial reporting and budgeting.