Home Health Agency Billing Manager

About the position

AlphaCare Home Health is a Medicare Certified and Joint Commission Accredited home health agency serving individuals in southeastern Massachusetts. We are currently seeking a full-time Medical Biller to work remotely. The primary responsibility of this position is to provide data entry functions and assist with the agency's invoicing process. The Medical Biller will prepare claims for submission as directed by the reimbursement specialist, ensuring that all billing processes are conducted accurately and efficiently. The ideal candidate will have a high school diploma and a minimum of two years of additional training in business or accounting. A certification in medical coding is preferred, along with at least two years of experience in healthcare billing and collections, preferably in a homecare setting. The candidate should demonstrate knowledge of billing regulations for Medicare, Medicaid, and insurance processing, as well as medical terminology and coding. Familiarity with medical billing software and electronic health record (EHR) systems is essential, as is excellent attention to detail and accuracy in coding and billing processes. In this role, the Medical Biller will assist in client invoicing and third-party claim submissions, review and analyze medical records and patient information to ensure accurate coding and billing, and follow up on unpaid claims to resolve any discrepancies or denials. The position also involves completing account receivable billing and charge entry duties promptly, maintaining confidentiality of all client and employee information in compliance with HIPAA regulations, and communicating necessary information with the Supervisor and management staff to ensure data accuracy and coordination of agency functions. Staying updated on changes in medical coding guidelines and regulations is also a key responsibility, along with performing additional duties as deemed necessary.

Responsibilities
• Assists in client invoicing and third-party claim submission
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• Review and analyze medical records and patient information to ensure accurate coding and billing
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• Follow up on unpaid claims and resolve any billing discrepancies or denials
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• Completes the account receivable billing and charge entry duties promptly
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• Completes all reports for the management team and forwards them promptly
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• Maintain confidentiality of all client and employee information and adhere to HIPAA regulations
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• Performs job in compliance with Agency policies and procedures as well as community standards and applicable laws
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• Communicates necessary information with the Supervisor and management staff to ensure the accuracy of data and coordination of Agency functions
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• Stay updated on changes in medical coding guidelines and regulations
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• Performs additional duties and responsibilities as deemed necessary.

Requirements
• High school graduate with a minimum of two (2) years of additional training in business or accounting
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• Certification in medical coding is preferred
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• Minimum of two (2) years experience in health care billing and collections, preferably at homecare
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• Demonstrates knowledge of billing regulations for Medicare, Medicaid, and insurance processing
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• Knowledge of medical terminology and coding
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• Experience with medical billing software and electronic health record (EHR) systems
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• Excellent attention to detail and accuracy in coding and billing processes
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• Information system knowledge in electronic claim submission and data entry/report generation
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• Strong organizational skills and ability to prioritize tasks effectively
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• Effective communication skills, both written and verbal
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• Ability to work independently as well as collaboratively within a team.

Nice-to-haves

Benefits
• 401(k)
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• 401(k) matching
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• Dental insurance
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• Flexible spending account
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• Health insurance
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• Life insurance
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• Paid time off
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• Vision insurance

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