Home Health Medical Biller

Overview

We are seeking a detail-oriented and organized Home Health Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing billing processes, ensuring accurate and timely submission of claims, and maintaining patient records. The Home Health Medical Biller is responsible for overseeing the billing and revenue cycle management processes for both skilled and non-skilled home health services.

This role ensures accurate claim submission, denial management, timely payments, and compliance with payer guidelines. The Home Health Medical Billersupports, trains, and monitors billing and claims specialists to achieve productivity, quality, and reimbursement goals, while acting as the main point of escalation for claim resolution.

• Oversee billing operations for home health skilled (RN, PT, OT, ST, MSW, HHA) and non-skilled (Personal Care) services.
• Ensure accurate and timely submission of claims to Medicare, Medicaid, Commercial Insurance.
• Reviewand resolve claim denials, rejections, and underpayments.
• Ensure compliance with state, federal, and payer-specific billing regulations
• Prepare and submit accurate billing claims to insurance companies and government agencies.
• Review patient records for completeness and accuracy before billing.
• Maintain detailed records of all billing transactions and correspondence.
• Stay updated on changes in healthcare regulations and billing procedures to ensure compliance.
• Collaborate with healthcare providers to clarify any issues related to billing or coding.
• Train new team members on EMR, clearinghouse, and payer portal workflows.
• Provide coaching, feedback, and support for resolving complex billing issues.
• Develop team schedules and workload balancing to meet deadlines.
• Serve as the subject matter expert (SME) for payer policies and escalation cases.
• Reporting & Communication
• Track KPIs such as clean claim rate, days in A/R, denial resolution time, and collections.
• Prepare weekly/monthly reports for management (billing productivity, outstanding claims)
• Collaborate with intake, authorization, and clinical teams to ensure complete and accurate billing data.
• Communicate with payers on escalated claims and reimbursement issues.

High School Diploma required

• Preferred 3–5 years of experience in home health billing (skilled and/or non-skilled services).

Knowledge of Medicare, Medicaid, and Commercial Insurance

Strong understanding of home health revenue cycle processes

Experience with EMR systems

• Proficiency in payer portals (i.e. Availity, United Healthcare etc.)
• Excellent organizational and time-management skills.
• Strong problem-solving and analytical abilities for claim resolution.
• Leadership, training, and team motivation skills.
• Effective written and verbal communication.
• Familiarity with medical terminology, coding systems (such as ICD-10, CPT), and insurance processes is a plus.
• Strong attention to detail and ability to work independently while managing multiple tasks.
• Excellent communication skills, both written and verbal, are essential for interacting with patients and insurance representatives.

• Experience with both home health skilled (clinical services) and non-skilled/personal care services billing.
• Ability to work independently and manage multiple priorities.

To apply, send your resume to Chambers Memorial Hospital, 719 Detroit Ave., Danville, AR 72833 or fill out the form linked below to apply online. For more information you may call us at .