home health billing specialist

Trilogy Quality Assurance

Job Overview We are seeking a detail-oriented and energetic Billing Specialist with Home Health experience to join our dynamic healthcare team. In this role, you will be responsible for managing the billing process for home health services, ensuring accurate and timely submission of claims, and maintaining compliance with industry standards. Your expertise will help optimize revenue cycles while providing exceptional support to our healthcare providers and patients. If you thrive in a fast-paced environment and have a passion for healthcare billing, this is an excellent opportunity to make a meaningful impact.Responsibilities<ul><li>Prepare and submit medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.</li><li>Must have experience with Kentucky Medicaid, Medicare Advantage, Medicaid Advantage, Commercial.</li><li>Cash Posting, Billing reports</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems to access patient information and process billing transactions efficiently.</li><li>Verify insurance coverage, benefits, and authorizations to facilitate smooth claim processing.</li><li>Follow up on unpaid or denied claims through medical collections processes, working diligently to resolve discrepancies.</li><li>Maintain detailed records of billing activities, claim submissions, adjustments, and payments for audit purposes.</li><li>Stay current with industry regulations, coding updates, and payer policies to ensure compliance and maximize reimbursement.</li></ul>Experience<ul><li>Proven experience in medical billing within a home health setting is required, Palliative and Hospice experience a plus</li><li>Strong knowledge of medical coding including CPT coding, ICD-9, ICD-10, ICD coding, and DRG classifications.</li><li>Familiarity with medical terminology, medical records management, and the intricacies of medical office workflows.</li><li>Hands-on experience with EMR/EHR systems used in home health agencies or similar healthcare environments.</li><li>Demonstrated ability to handle medical collections effectively while maintaining professionalism.</li><li>Excellent attention to detail combined with strong organizational skills to manage multiple billing tasks simultaneously.</li><li>Prior experience working with Medicare, Medicaid, or private insurance payers is highly preferred. Join us in delivering exceptional healthcare services by ensuring accurate billing processes that support our mission of compassionate patient care!</li></ul>Pay: $21.50 - $24.50 per hourWork Location: Remote

Billing Specialist- Home Health- Kentucky Medicaid experience REQUIRED

Aspirion

<div>Description:

For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers&rsquo; compensation, Veterans Affairs, and out-of-state Medicaid.
At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, &ldquo;Our teammates are the foundation of our success.&rdquo; United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time.
We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.
We are seeking an Appeals Specialist to join our growing team. As an Appeals Specialist, you will contribute to our fast-paced, collaborative environment and will bring your expertise to deliver exceptional billing services for our clients. The ideal candidate will have strong technical skills, excellent communication and healthcare experience in a hospital and a professional billing or coding environment. A successful Appeals Specialist must be able to perform each responsibility satisfactorily. The following responsibilities represent the strong knowledge, skills and abilities required to perform the job successfully and independently.
 Key Responsibilities<ul><li>
Review/work denials from an explanation of benefits (EOB) statement</li><li>
Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims</li><li>
Compose and submit appeals to insurance companies</li><li>
Submit required documentation to insurance companies as requested</li><li>
Research claims for information to process bills in a timely manner</li><li>
Communicate with insurance companies, adjustors and patients on a regular basis</li><li>
Correct errors and resubmit all unprocessed or returned claims to insurance companies</li><li>
Correct UB04 and HCFA bills</li><li>
Maintain productivity standards</li><li>
Perform other duties as assigned by Direct Report
</li></ul>Requirements:
<ul><li>2+ years of healthcare billing and denials experience</li><li>
Strong healthcare industry knowledge including basic coding principals</li><li>
Demonstrated ability to troubleshoot and remedy claims denials or submission errors</li><li>
Demonstrated ability to interpret claims data in internal billing software and diverse EHR&rsquo;s</li><li>
Prior experience using Microsoft Office Suite</li></ul>
Education and Experience<ul><li>
High School Diploma or GED required; bachelor's degree preferred</li><li>
Previous work from home experience</li></ul>
Benefits
At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs.
The US base pay range for this position starts at $19.00 hourly. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered.
AAP/EEO Statement
Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.
Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace.</div>

Appeals Specialist - Hospital Billing, AR

Gentle Footcare

<div>Ohio Foot and Ankle Specialists is seeking a detail-oriented and dependable Billing Specialist to support accurate and timely medical billing operations. This role is responsible for claim submission, payment posting, follow-up, and ensuring compliance with payer requirements.
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Essential Duties &amp; Responsibilities</h4>
Submit medical claims accurately and timely to insurance carriers

Review claims for completeness, accuracy, and compliance prior to submission

Post insurance payments, adjustments, and denials

Follow up on unpaid, underpaid, or denied claims

Research and resolve billing discrepancies

Work denied claims and submitted corrected or appealed claims as needed

Verify insurance benefits and billing requirements when necessary

Maintain compliance with billing regulations, payer guidelines, and company policies

Communicate professionally with insurance companies, internal teams, and leadership

Maintain patient confidentiality and HIPAA compliance

Perform other duties as assigned
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Qualifications</h4><h4 class="jobSectionHeader">
Medical billing experience preferred</h4>
Knowledge of CPT, ICD-10, and insurance billing processes preferred

Strong attention to detail and organizational skills

Ability to manage multiple tasks and meet deadlines

Basic computer proficiency and experience with EMR/practice management systems

Reliable attendance and professionalism
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Benefits</h4>
Medical, Dental, and Vision Insurance

Paid Time Off (PTO)
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Paid National Holidays</h4>
One (1) Floating Holiday
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Work Environment</h4><h4 class="jobSectionHeader">
Medical billing/administrative office setting</h4>
Prolonged periods of sitting and computer use

Interaction with internal teams, payers, and leadership
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Equal Employment Opportunity Statement</h4>
Ohio Foot and Ankle Specialists is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other legally protected status.
<h4 class="jobSectionHeader">
About Gentle Footcare LLC</h4>
Ohio Foot and Ankle Specialists is the largest podiatry practice in Ohio, with over 40 providers in more than 30 locations across Ohio. We are continuing to grow throughout the state to provide premier care close to home. We utilize the latest technology in our practices, care for all age groups, and provide everything form routine care to complex surgery. Our vision is to become the leading provider of the podiatry services, with an outstanding physician team and staff delivering best -in -class patient outcomes</div>

Medical AR Billing Specialist

Zue Pvt Ltd

Job Title: Physician Billing Specialist Location: Main Shahra-e-Faisal, Karachi (On-site) Employment Type: Full-time Shift Timings: 06:00 PM to 03:00 AM PKT Working Days: Monday to FridayAbout the Role:We are looking for adetail-oriented and proactive Physician Billing Specialist to join our team. You will ensure accurate insurance verification, follow up on unpaid or denied claims, and maintain compliance with billing regulations. Your work will directly support our physicians and help streamline revenue processes.Key Responsibilities:<ul><li>Insurance Verification:</li></ul>Ensure patient insurance info is accurate and up-to-date. Validate insurance plan status, ID numbers, patient names, and DOBs.<ul><li>Claims Follow-Up &amp; Resolution:</li></ul>Investigate unpaid or denied claims across all insurance carriers. Challenge &ldquo;no claim found&rdquo; responses and provide proof of submission. Escalate issues to supervisors when necessary to ensure resolution.<ul><li>Documentation &amp; Communication:</li></ul>Record all interactions with insurance representatives in Nextech, including call reference IDs and summaries. Maintain detailed notes to ensure continuity for future follow-ups.<ul><li>Compliance &amp; Timeliness:</li></ul>Ensure claim-related actions meet payer-specific filing and appeal deadlines. Follow HIPAA and federal/state billing regulations. Communicate urgent claim issues requiring physician or clinic staff input.Requirements:<ul><li>Previous experience in physician billing, insurance verification, or claims follow-up.</li><li>Familiarity with Nextech or similar EHR/Billing systems preferred.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication skills for interacting with insurance representatives.</li><li>Knowledge of HIPAA regulations and medical billing compliance.</li></ul>Perks &amp; Benefits:<ul><li>OPD &amp; IPD health coverage for self, dependents, and parents.</li><li>Life insurance for self.</li><li>Fuel card for male employees.</li><li>Free pick &amp; drop for female employees.</li><li>In-house gym facility.</li><li>Paid leaves &amp; US holidays.</li><li>Referral bonus program.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current salary? </li><li>What is your expected salary? </li><li>If selected? Would you be able to join immediately? </li><li>Residential Area in Karachi? </li><li>Are you comfortable working onsite from 06:00 PM to 03:00 AM PKT (Night Shift)? </li></ul>Work Location: In person

Physician Billing Specialist

patient outreach healthcare

Title: Home Health Medical Biller (Remote or In-Office)Job Overview: We are seeking an experienced Home Health Medical Biller with strong knowledge of Medicare billing, PDGM, and OASIS workflows. The ideal candidate will manage the full revenue cycle, ensure timely claim submission, and reduce denials.Key Responsibilities:<ul><li>Submit NOAs, RAPs (if applicable), and final claims</li><li>Ensure compliance with PDGM requirements</li><li>Review OASIS documentation for billing accuracy</li><li>Manage claim denials, rejections, and appeals</li><li>Post payments and reconcile accounts receivable</li><li>Follow up on unpaid claims and aging reports</li><li>Work with clearinghouses (Waystar, Availity, etc.)</li><li>Coordinate with clinical staff to ensure documentation accuracy</li></ul>Qualifications:<ul><li>2+ years of HOME HEALTH billing experience(required)</li><li>Strong knowledge of PDGM and Medicare guidelines</li><li>Experience with EMR systems (Homecare Homebase, WellSky, etc.)</li><li>Ability to work independently and meet deadlines</li><li>Experience with Medicaid and commercial payers (preferred)</li><li>Certification (CPC, CCS) is a plus</li></ul>Compensation:<ul><li>Flexible (contract or full-time)</li></ul>Location:<ul><li>Remote or Office</li></ul>How to Apply: Please submit your resume and a brief summary of your home health billing experience.Benefits:<ul><li>Flexible schedule</li></ul>Work Location: Hybrid remote in Bethlehem, PA 18018

Medical Coder and Biller- Home Health Agency

Kinnic Falls Alcohol-Drug Abuse Services, Inc.

Outpatient Billing Specialist &ndash; Substance Use Disorder (SUD) and Mental Health FacilityPosition SummaryThe Outpatient Billing Specialist for a Substance Use Disorder (SUD) and mental health facility plays a crucial role in the financial health of the organization by overseeing and executing billing processes specific to outpatient SUD and mental health services. This position is responsible for scheduling appointments, preparing and submitting claims, resolving billing issues, and ensuring that billing practices align with regulatory requirements unique to behavioral health and substance use treatment. The specialist works closely with clinical teams, patients, and payers to maximize reimbursement, maintain compliance, and support the mission of the facility.Key Responsibilities&middot; Prepare, review, and submit claims for outpatient SUD and mental health services to insurance companies and third-party payers, ensuring accuracy and completeness with attention to behavioral health codes and regulations.&middot; Verify patient insurance eligibility, benefits, and coverage for SUD and mental health services prior to treatment.&middot; Resolve claim denials, rejections, and discrepancies by communicating with insurers, patients, providers, and behavioral health case managers.&middot; Post payments, adjustments, and denials to patient accounts, ensuring proper allocation of funds as per behavioral health billing standards.&middot; Maintain comprehensive documentation of billing activities, correspondence, and compliance for audit purposes, especially regarding state and federal SUD and mental health regulations.&middot; Respond to patient billing inquiries and explain charges, payments, and insurance coverage relevant to SUD and mental health treatments in a clear and empathetic manner.&middot; Monitor accounts receivable and follow up on unpaid or underpaid claims, focusing on timely reimbursement for substance use disorder services.&middot; Stay current with payer policies, coding guidelines (including CPT, ICD-10, and behavioral health codes), and regulatory changes affecting SUD and mental health billing practices.&middot; Assist the finance department with reconciliation and reporting related to SUD and mental health programs and outpatient services.&middot; Other administrative tasks as assigned.Qualifications&middot; High school diploma or equivalent required; associate degree or certification in medical billing or behavioral health billing preferred.&middot; Minimum of 2 years&rsquo; experience in medical billing, with direct experience in outpatient substance use disorder or mental health services strongly preferred.&middot; Working knowledge of healthcare billing systems, behavioral health insurance plans, and terminology related to SUD and outpatient mental health care.&middot; Solid understanding of CPT, ICD-10, and behavioral health-specific coding, as well as HIPAA and confidentiality requirements for SUD and mental health treatment.&middot; Strong organizational skills and attention to detail.&middot; Ability to communicate compassionately and effectively with patients, providers, and payer representatives.&middot; Proficiency in Microsoft Office and electronic health record (EHR) systems, preferably those used in behavioral health settings.&middot; Experience with obtaining health plan contracts and credentialing providers a plus.Work Environment and Work Hours&middot; Must be present in the office.&middot; 24 hours per week. Afternoon hours. Schedule to be mutually agreed upon.Competencies:<ul><li>Problem Solving--Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.</li><li>Project Management--Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities.</li><li>Technical Skills--Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.</li><li>Customer Service--Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.</li><li>Interpersonal Skills--Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.</li><li>Oral Communication--Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.</li><li>Written Communication--Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.</li><li>Teamwork--Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.</li><li>Organizational Support--Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.</li><li>Attendance/Punctuality--Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.</li></ul>Physical Demands:<ul><li>Occasionally required to stand</li><li>Continually required to walk</li><li>Continually required to sit</li><li>Continually required to utilize hand and finger dexterity</li><li>Occasionally required to climb, balance, bend, stoop, kneel or crawl</li><li>Continually required to talk or hear</li><li>Continually utilizes visual acuity to operate equipment, read</li><li>technical information, and/or use a keyboard</li><li>Occasionally required to lift/push/carry items less than 25 pounds</li><li>Continual exposure to bloodborne and airborne pathogens or infectious materials</li><li>Specialized equipment: all office equipment</li></ul>To apply for this position, please email resume to kmatzek@kinnicfalls.org. Closing date: March 31, 2026Pay: $24.50 - $28.43 per hourWork Location: In person

Outpatient Billing Specialist - Substance Use Disorder and Mental Health Facility

University of Texas Medical Branch

<div>EDUCATION &amp; EXPERIENCE:
Minimum Qualifications:<ul><li>
Two years of financial experience or one year of patient accounts experience.
</li></ul>JOB SUMMARY:
The Patient Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues affecting these claims. Takes necessary actions to ensure timely and appropriate reimbursement and account resolution.
ESSENTIAL JOB FUNCTIONS:<ul><li>
Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines</li><li>
Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS requirements</li><li>
Billing payers and/or clients for hospital and/or Professional Patient Accounts</li><li>
Resolves Payer rejections from billing system daily to bill submit hospital and/or physicians claims</li><li>
Performs online corrections to edited claims according to procedures</li><li>
Performs detailed follow-up activities on assigned accounts according to procedures</li><li>
Responds to daily correspondence according to procedures</li><li>
Identifies denials and underpayments for appeal</li><li>
Reviews, researches, and processes denied claims</li><li>
Appeal claims as appropriate according to policies and procedures</li><li>
Updates account information and documents as appropriate within Epic Resolute</li><li>
Processes account adjustments according to policies/procedures</li><li>
Issues payer and/or patient refunds according to policies/procedures</li><li>
Validates accuracy of payments and/or adjustments on accounts</li><li>
Resolves outstanding accounts at required accuracy and productivity requirements</li><li>
Maintains comprehensive knowledge of the work unit assigned</li><li>
Assists in the development of department policies and procedures</li><li>
Adheres to established policies and procedures</li><li>
Adheres to internal controls and reporting structure</li><li>
Maintains open and professional communication with customers, colleagues, and vendors</li><li>
Performs well in a team environment</li></ul>
Marginal or Periodic Functions:<ul><li>
Successfully completes competency-based training and testing</li><li>
Prioritizes and completes all work in an accurate, effective, and efficient manner</li><li>
Participates in team meetings/activities and supports the philosophy and goals of the team and department</li><li>
Assists in the training and mentoring of new employees</li><li>
Reads all announcements and relevant communications relating to job duties</li><li>
Performs related duties as required.</li></ul>
WORKING ENVIRONMENT/EQUIPMENT:<ul><li>
Standard hospital, clinical, laboratory and/or office environments.</li><li>
Standard office equipment.</li></ul>
SALARY RANGE:
Actual salary commensurate with experience.
WORK SCHEDULE:
On-site, Monday through Friday, 8 AM - 5 PM. 
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.</div>

Patient Account Specialist - Revenue Cycle HB Billing & Denials

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