Home Healthcare Biller

Human Touch Home Health Care is seeking a Home Healthcare Biller the ideal candidate for this position will be responsible for processing and managing billing for home health services provided to patients. This role requires accurate coding of medical procedures, knowledge of insurance and reimbursement processes, and the ability to handle patient accounts efficiently. The Home Healthcare Billing Specialist will ensure compliance with federal and state regulations and work closely with insurance companies to resolve billing issues.

About us: We are a home healthcare provider in the area. We provide comprehensive, skilled, and non-skilled services, to our home bound clients in Colorado, with an excellent track record of client-focused care. We strive to help clients to improve their lives while in the comfort of their homes. To meet our standard of care, we offer a variety of affordable and high-quality home health care solutions that will meet the needs of the seniors, disabled, and ill members of the community.

Benefits:

• Competitive salary commensurate with experience.
• Opportunities for professional development and career advancement.
• Positive and supportive work environment
• Contribution to improving healthcare access and quality in the community
• Comprehensive benefits package including:
  • Health insurance
  • Vision
  • Dental
  • Paid Time Off
  • Sick Leave
  • Retirement plans

Responsibilities:

• Accurately review patient documentation and generate claims for home health services.
• Code medical procedures and diagnoses using ICD-10, CPT, and HCPCS codes.
• Submit claims to Medicare, Medicaid, private insurers, and other third-party payers.
• Ensure timely and accurate submission of all claims to avoid delays in reimbursement.
• Verify patient insurance eligibility and coverage prior to services being rendered.
• Communicate with insurance companies and patients to resolve billing issues or discrepancies.
• Follow up on unpaid or denied claims and ensure that appropriate corrections are made.
• Maintain patient billing records, ensuring all information is accurate and up-to-date.
• Ensure compliance with HIPAA and other healthcare regulations in managing patient data.
• Track and monitor reimbursement payments and discrepancies.
• Ensure payments are processed and documented in accordance with company policies.
• Research, resolve, and appeal any denied claims or underpayments from insurance providers.
• Stay updated with current healthcare billing regulations and insurance policies.
• Adhere to all federal and state laws governing home health care billing and reimbursement.
• Ensure accurate reporting and billing for services in compliance with Medicare and Medicaid guidelines.
• Respond to patient or family inquiries regarding billing statements or insurance coverage.
• Work collaboratively with healthcare providers, insurance representatives, and patients to resolve any billing-related concerns.

Qualifications:

• High school diploma or equivalent required. An associate degree or certification in medical billing and coding is preferred.
• Minimum of 1-3 years of experience in home healthcare billing or medical billing is preferred.
• Proficient in medical coding (ICD-10, CPT, HCPCS).
• Strong understanding of home health care billing processes, including Medicare, Medicaid, and private insurance.
• Experience with electronic billing systems and medical billing software.
• Excellent attention to detail and organizational skills.
• Strong communication and interpersonal skills.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

Job Type: Full-time

Pay: $55,000.00/yearly salary

Medical billing specialties: Home Healthcare

Work Environment: Office setting, Onsite

Weekly schedule: Monday to Friday, 8hr. day, 40hr. week

Ability to commute: Washington, D.C.

Experience: 1 year Home Healthcare Billing (Preferred)