Home Health, SNF Full Cycle Biller

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

📋 Description

• Oversee the complete billing cycle for Home Health, Hospice, and SNF claims, which includes claim generation, scrubbing, submission, and follow-up.

• Prepare and submit claims through the Vision system, ensuring the accuracy of billing data, revenue codes, HCPCS/CPT codes, and post-acute billing modifiers.

• Track claim status, resolve rejections and denials, and resubmit corrected claims as needed.

• Manage claim edits, RTP (Return to Provider), and ADR (Additional Documentation Request) queues efficiently.

• Actively manage AR aging for unpaid, underpaid, and pending claims.

• Reach out to payers via phone, online portal, or written communication to resolve outstanding claims and expedite payments.

• Investigate and appeal underpayments and denials, coordinating with coding or clinical teams when necessary.

• Maintain documentation of AR follow-up activities and account history.

• Accurately post payments, adjustments, and denials across Medicare, Medicaid, and commercial payers.

• Reconcile cash postings against ERA/EOB remittances and bank deposits.

• Investigate and resolve discrepancies in postings, unapplied cash, and payment variances.

• Implement PDGM, hospice election periods and NOEs, and SNF PPS/consolidated billing requirements.

• Ensure compliance with payer guidelines, timely filing deadlines, CMS, and state Medicaid regulations.

• Collaborate with intake, coding, and collections teams to address billing holds and documentation gaps.

• Serve as a point of contact for questions related to billing and cash posting.

• Achieve client/account productivity and quality standards.

• Execute other duties as assigned.

⛳️ Requirements

• At least 2+ years of full cycle billing and accounts receivable (AR) experience in Home Health, Hospice, and/or SNF environments.

• Direct, hands-on experience with the Vision billing system.

• Strong, practical cash posting experience, which includes manual and electronic (ERA) payment applications.

• Working knowledge of Medicare Part A billing, PDGM, hospice NOE/election periods, and SNF consolidated billing regulations.

• Familiarity with UB-04 claim forms and post-acute revenue cycle processes.

• Solid understanding of payer remittance (ERA/EOB) interpretation and reconciliation.

• Exceptional attention to detail and the ability to accurately manage high volumes of claims.

• Strong written and verbal communication abilities.

• Capability to work independently in a fully remote setting with dependable high-speed internet.

• Preferred: experience with Medicare, Medicaid, and Managed Care payer types in a post-acute context.

• Preferred: previous experience in an outsourced or vendor revenue cycle environment.

• Preferred: knowledge of clearinghouse claim submission and denial management processes.

• Ability to communicate effectively via phone and video conference.

• Willingness and capacity to work extended hours during peak billing or month-end close periods.

🏝️ Benefits

• Fully remote work arrangement.

• Requirement/support for a dedicated, private workspace.

• Requirement/support for reliable high-speed internet.