Billing Specialist

We are looking for a detail-oriented Billing Specialist to join our growing team. This position plays a key role in supporting accurate revenue cycle processes and ensuring timely reimbursement for healthcare & therapy services.

You would be responsible for accurate claim submission, payment posting, denial follow-up, and insurance communication related to services provided. This role works closely with clinical teams, front office staff, and leadership to ensure clean claims and strong financial performance.

Responsibilities:

• Review documentation for billing accuracy and completeness
• Submit insurance claims in a timely manner
• Post payments and reconcile accounts
• Investigate and resolve denied or rejected claims
• Communicate with insurance companies regarding authorizations, eligibility, and claim status
• Work patient accounts including balances, adjustments, and follow-up
• Ensure compliance with payer requirements and coding guidelines
• Support productivity and revenue cycle reporting needs
• Collaborate with clinic teams to improve billing workflows

What you will need:

• Experience in home health and/or hospice medical
• Knowledge of Medicare, Medicaid, commercial insurance, and payer-specific billing requirements
• Understanding of ICD-10 coding, claims submission, payment posting, denial management, and reimbursement processes
• Familiarity with home health and hospice regulations, including PDGM and hospice billing guidelines
• Strong attention to detail with excellent organizational and problem-solving skills
• Ability to manage multiple priorities, meet deadlines, and work independently
• Proficiency with electronic medical records (EMR) and billing software systems
• Excellent communication and teamwork skills with the ability to collaborate across clinical and administrative teams

What we offer:

• Health, vision, dental, HSAs, & FSAs
• 401(k) plan with employer contribution
• Paid time off that begins accruing on day one
• Hybrid work model

Offers of employment are contingent upon passing a background check and drug screen

ABOUT CARINGEDGE
CaringEdge is a division of Edgewood Healthcare providing home health, hospice, and outpatient therapy services in North Dakota, South Dakota, Minnesota, Montana, and Wyoming. To learn more about CaringEdge, visit caringedge.com.

Work Location: Hybrid remote in Grand Forks, ND 58201