home health billing specialist

Addus HomeCare

<div><div>Position Summary: The Reimbursement Specialist (Home Health/Hospice) will be responsible for billing and revenue cycle management thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions. We would like to hire someone with Home Health or Hospice experience and having HCHB experience is a plus
Schedule: Monday-Friday 8am to 5pm Central Standard Time (Remote)
Pay: $21 to $24 hourly
&gt;&gt; We offer our team the best &lt;&lt;<ul><li>
Medical, Dental and Vision Benefits</li><li>
Continued Education</li><li>
PTO Plan</li><li>
Retirement Planning</li><li>
Life Insurance</li><li>
Employee discounts</li></ul>
Essential Duties:<ul><li>
Accurately interprets patient insurance, prescription and other health-related documentation</li><li>
Conducts medical insurance verifications and investigations for commercial and government payors</li><li>
Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution</li><li>
Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.</li><li>
Reviews all claims for compliance and completeness for claims submissions.</li><li>
Researches available alternative funding options to reduce patient&rsquo;s financial burden</li><li>
Handles high call volumes</li><li>
Communicates with internal and external departments to facilitate coordination of care</li><li>
Maintains a high degree of confidentiality at all times due to access to sensitive information</li><li>
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department</li><li>
Follows all Medicare, Medicaid, and HIPAA regulations and requirements</li><li>
Abides by all regulations, policies, procedures and standards</li><li>
Performs other duties as assigned</li></ul>
Position Requirements &amp; Competencies:<ul><li>
High school diploma or equivalent is required; Undergraduate degree is preferred</li><li>
5 years of healthcare collections/billing experience preferred</li><li>
Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial</li><li>
Ability to read and interpret EOBs, remittances, and denial codes</li><li>
Effective payer follow-up and escalation strategies</li><li>
Ability to resolve claim holds, rejections, and denial</li><li>
Ability to identify trends in denials or delay</li><li>
Root-cause analysis to prevent recurring issues</li><li>
High attention to detail to ensure clean claims</li><li>
Ability to work AR reports and aging summaries accurately</li><li>
Clear, professional communication with internal teams and payer reps</li><li>
Ability to explain payer issues in plain, understandable language</li><li>
Possess quick and accurate Alpha/numeric data entry skills</li><li>
Computer proficiency &ndash; MS Office and Web-enabled applications strongly preferred</li><li>
Customer service skills required.</li><li>
Maintains positive internal and external customer service relationships</li><li>
Plans and organizes work effectively and ensures its completion</li><li>
Meets all productivity requirements</li><li>
Demonstrates team behavior and promotes a team-oriented environment</li><li>
Actively participates in Continuous Quality Improvement</li><li>
Represents the organization professionally at all times</li><li>
Self-starter with exceptional organizational and follow-through skills</li><li>
Ability to work independently and in a team environment</li></ul>
To apply via text, text 106707 to 334-518-4376
#ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR</div>
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: https://www.indeed.com/employers/work-wellbeing/work-wellbeing-100-ranking.</div>

Reimbursement Specialist (Home Health & Hospice Exp)

Tampa General Hospital

<div><div>Pharmacy Billing Specialist - Outpatient Specialty - (260001CE)<div>
</div></div><div>
Description<div></div> 
The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH&rsquo;s mission, vision, and values.<div> 
</div></div><div>
Qualifications<div>
</div><ul><li>
Associate's Degree Relevant Field</li><li>
Registered Pharmacy Technician</li><li>
Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in 
lieu of degree.</li></ul><div>
</div></div><div>
Primary Location: Tampa</div><div>
Work Locations: TGH Main Campus 1 Tampa General Circle Tampa 33601</div><div>
Eligible for Remote Work: Hybrid Remote</div><div>
Job: Pharmacy</div><div>
Organization: Florida Health Sciences Center Tampa General Hospital</div><div>
Schedule: Full-time</div><div>
Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday</div><div>
Shift: Day Job</div><div>
Job Type: Hybrid Remote</div><div>
Shift Hours: Day shifts 8am to 4:30pm Monday to Friday</div><div>
Minimum Salary: 43,180.80</div><div>
Job Posting: Mar 31, 2026, 9:15:20 AM</div></div>

Pharmacy Billing Specialist - Outpatient Specialty

Aquinai Home Healthcare

* MUST HAVE PREVIOUS BILLING EXPERIENCE WITH CRADLEMRX (PALMETTO GBA) HOME HEALTHCARE * MUST SUBMIT A RESUME* PERFERRED APPLICANT MUST LIVE IN DALLAS* APPLICANTS MUST COME IN OFFICE TO FILL OUT HARDCOPY APPLICATIONAquinai Home Healthcare Inc. is looking for a biller will be responsible for Prior Authorizations/ UTN tasks to Palmetto GBA Medicare/Medicaid, PPO, HMO, and other government insurances including getting in contract with these insurances when needed. They will also perform accounts receivable (AR) follow up identifying and resolving coding and billing errors, denials, and non-payments, etc. This position is entitled to some office work that includes filing, correcting patient charts, and answering phone calls, etc.Requirements:At least 5 years of experience in Prior Authorization/ UTN Tasks.Background in using EMR software and applicationsAbility to navigate CPT, ICD-10, HCPC booksStrong verbal, written, and oral communications skills.Must be available during office hours.Job Types: Part- TimePay: $20.00- $50Schedule:<ul><li>Monday to Friday in the office / Remote</li></ul>Experience:<ul><li>Home Health Billing: 5 years (Required)</li></ul>Address: 8330 LBJ Frwy Ste#475, Dallas,Tx. 75243Hours of Operation: M-F, 9am-5pmPhone Number: 214-792-9761Job Types: Part-time, ContractPay: $20.00 - $50.00 per hourExpected hours: 20 &ndash; 40 per weekExperience:<ul><li>Prior Authorization: 5 years (Required)</li><li>UTN Tasks: 5 years (Required)</li></ul>Location:<ul><li>Dallas, TX 75243 (Preferred)</li></ul>Ability to Commute:<ul><li>Dallas, TX 75243 (Required)</li></ul>Work Location: Hybrid remote in Dallas, TX 75243

UTN Tasks/ Prior Authorizations Home Health Biller (CradleMRx)

Heyl Family Practice

Position Summary: The Medical Billing Specialist is responsible for managing billing tasks directly related to patient care. These situations could involve provider charges, processing over-the-counter patient payments and maintaining follow-up on delinquent patient accounts. Often, the Medical Billing Specialist will have to work collaboratively with the Practice Director and Clinical Coordinators, as well as the other billing specialists on the team. With our practice focusing heavily on HCC codes and quality care initiatives, a general knowledge and understanding of accepted insurances and codes is required. Additionally, Medical Billing Specialists will be required to communicate with patients to discuss billing issues, reconcile accounts, etc.Duties:<ul><li>Maintain open communications with the Corporate Billing Office and divisional personnel.</li><li>Work with your inter-departmental staff and practice staff collaboratively and effectively as a team.</li><li>Post daily charges into the Practice Management System within two days from date of service.</li><li>Assist in the research of proper coding techniques to maximize reimbursement.</li><li>Assist staff with coding and reimbursement problems, as needed.</li><li>Review superbills and/or EMR for accuracy before data entry.</li><li>Code procedures and diagnoses accurately within the practice management system</li><li>Verify any vague information for accuracy with provider of service or another staff member, if applicable.</li><li>Post over-the-phone patient payments.</li><li>Approve claims for billing</li><li>Reconcile the Practice Daily Balance daily.</li><li>Review Un-posted Ticket Report daily.</li><li>Review Rejection Reports (including lab rejections) daily.</li><li>Investigate billing rejections and provide appropriate and timely follow-up to the staff and patients, as necessary.</li><li>Update insurance registration and demographic information on patient accounts within one day from date of service.</li><li>Provide and explain account/billing information to patients, when necessary.</li><li>Keep abreast of current changes in coding requirements from Medicare, Medicaid, and other third-party payers.</li><li>Assist with giving fee estimates to patients, when necessary.</li><li>Resubmit medical insurance claims, when necessary and report any delays immediately to Practice Director.</li><li>Investigate billing problems and provide appropriate follow-up as needed.</li><li>Perform adjusting entries on patient accounts, when necessary.</li><li>Complete all end-of-day reports and procedures.</li><li>Open batch daily with 100 or 103 in front of you name (depending on what office you are posting for).</li><li>Complete daily or weekly reviews of your desktop for incomplete notes or messages.</li><li>Always maintain professionalism in your interactions with patients and staff.</li><li>Observe policies and procedures related to confidentiality, medical records, release of information and HIPAA.</li><li>Attend scheduled Billing Meetings.</li><li>Perform and complete additional tasks and projects directly or indirectly related to your position when assigned by the Practice Director or Genesis Central Billing Management.</li></ul>Qualifications/Skills:<ul><li>Proficiency in medical billing systems and software</li><li>Strong knowledge of medical terminology, coding, and billing procedures</li><li>Familiarity with ICD-9 and ICD-10 coding systems</li><li>Excellent attention to detail and accuracy</li><li>Strong analytical and problem-solving skills</li><li>Effective communication skills, both written and verbal</li><li>Ability to work independently and as part of a team</li><li>Knowledge of medical collection practices is a plus</li></ul>If you are a dedicated Medical Biller with a passion for accuracy and efficiency, we would love to hear from you. Join our team and contribute to the success of our medical practice while ensuring proper reimbursement for the valuable services we provide.Job Type: Full-timePay: $18.00 - $21.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>Medical billing: 1 year (Required)</li></ul>Ability to Commute:<ul><li>Pittsburgh, PA 15229 (Required)</li></ul>Work Location: Hybrid remote in Pittsburgh, PA 15229

Medical Billing Specialist (Hybrid)

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

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

McLeod Health

<div><div>Responsibilities:</div>
Job Summary: This position is involved in all processes related to coding, cash posting, electronic and manual billing, credit balance resolution, posting error resolution, adjustment verification against state, federal and managed commercial contracts, suspense account reconciliation to include reporting of variances related to expected reimbursement verses actual reimbursement. Government and state reports must be completed and submitted timely for a Home Health patient to qualify. This position will identify any errors and/or omissions in reimbursement processes, unfavorable trends and assure Home Health compliance. The position will require extremely conscientious work organization, excellent communication skills, flexibility and the ability to perform detailed follow-through.<ul><li>
Ensuring patient inquiries are researched and resolved in a timely manner.</li><li>
Ensuring that third party assignments and estate claims are handled in a fashion that protects the Home Health interest and funds.</li><li>
Documenting/reviewing actions taken and obtained from the county welfare departments on pending medical accounts.</li><li>
Assisting in the development, of the departmental annual strategies.</li><li>
Completing required continuous training and education, including department specific requirements.</li><li>
Trouble shooting so that the patient, family members, physician and Home Health Administrative staff member's expectations are met and/or exceeded.</li><li>
Having complete understanding of all Home Health policy and procedures and is able to administer the policies according to the established stated and federal guidelines.</li><li>
Ensuring that customers receive accurate responses to inquires in a manner that consistently meets or exceeds the expectations of McLeod Health.</li></ul> 

Work Schedule: 80 hours bi-weekly<div> 

Qualifications:</div><ul><li>
Must have excellent working knowledge of computers, requirements for electronic and manual billing to third party payers, accounting principles, medical terminology, medical coding and general office procedures to include standard typing skills of at least 45 wpm.</li><li>
Must be competent to perform data entry and to differentiate billing requirements amount various payer groups.</li><li>
Must be able to use excel, 10 key adding machine, and word processing.</li><li>
Must have excellent communication and organizational skills.</li><li>
Must be highly adaptable, critical thinker, problem solver and have the ability to initiate and make decisions to carry out work assignments within the guidelines provided.</li><li>
Three to five years of billing, collection, cash posting, general data entry and coding experience within a hospital and/or medical setting preferred.</li></ul><div> 
Requirements: 
 Degrees: 
 High School/Ged</div>
If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. We are an equal opportunity employer.
<div>Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.</div></div>

Home Health Account Specialist - Hospice Home Care Business

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