Home Health Medical Billing Specialist

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Review and prepare medical claims for submission to insurance providers

• Ensure that CPT, diagnosis, revenue, and place-of-service codes are accurate prior to claim submission

• Transform Electronic Visit Verification (EVV) records into billable claims

• Process and manage 60–75 claims daily

• Conduct weekly quality assurance checks on payroll for home health aide hours

• Perform weekly quality assessments of home health aide visits for billing to Managed Care Organizations

• Confirm that charted and worked hours align with health-plan-authorized hours

• Assist Revenue Cycle Management by focusing on claim entry and billing

• Verify that billing information is complete and accurate, and aid in Coordination of Benefits

• Monitor claims to ensure compliance with payer requirements

• Enter and manage claims within billing systems such as CollaborateMD

• Maintain precise records in billing and related systems

• Utilize multiple systems simultaneously, employing dual monitors and screen-sharing tools

• Collaborate with internal teams regarding billing documentation and claim-related issues

• Adhere to billing workflows and escalate issues as necessary

⛳️ Requirements

• 2–3 years of experience in U.S. medical billing

• Strong knowledge of the Revenue Cycle Management (RCM) process

• Familiarity with CPT, diagnosis, revenue, and place-of-service codes

• Proven experience in preparing and submitting high-volume insurance claims while ensuring accuracy

• Minimum of 1 year of experience in Home Health billing

• Proficient in Excel/Google Sheets and EHR/EMR systems

• Comfortable navigating multiple systems and technologies using dual monitors and screen-sharing tools

• Exceptional attention to detail

• Strong organizational abilities

• Capability to follow detailed instructions

• Excellent written and verbal communication skills in English

• Highly adaptable to changes and willing to adjust to evolving role requirements

• Preferred: Experience with Medicaid billing

• Preferred: Experience in remote or distributed teams

• Preferred: Familiarity with CollaborateMD (CMD)

• Preferred: Knowledge of Availity, NaviNet, Waystar, NextGen, or Avaya

🏝️ Benefits

• Annual performance bonus for global team members

• 15 days of paid time off

• 10 paid company holidays in the US

• Opportunities for professional growth

• Chance to develop leadership skills while collaborating with teams in various markets across the US