US Medical Billing Specialist

Join to apply for the U.S. Medical Billing Specialist role at Abby Care.

About Abby Care

Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving.

Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious: to train and employ family caregivers so they can get paid for the care they already provide at home.

Abby Care is building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide.

We are rapidly expanding our mission and looking for passionate team members to join. Abby Care has partnered with leading insurance plans, healthcare providers, and community organizations.

Work Schedule:

Monday to Friday (9:00 AM - 5:00 PM EST).

We’re looking for an experienced individual to join us as a Medical Billing Specialist. You will report into the Director of RCM. This is a Full-Time Remote opportunity based in the United States.

A Medical Biller for Home Health Services is responsible for accurately preparing, submitting, and following up on claims to insurance companies, government payers (e.g., Medicare, Medicaid), and patients. This role ensures timely reimbursement for home health services provided, compliance with regulations, and effective communication with healthcare providers and payers.

• Prepare, review, and submit accurate claims to insurance companies.
• Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered.
• Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care.
• Use billing software to process and track claims.

• Monitor claim status and follow up on unpaid or denied claims promptly.
• Investigate and resolve claim discrepancies, denials, and appeals.
• Generate reports for outstanding accounts receivable and payment trends.

• Ensure all billing practices comply with federal, state, and local regulations.
• Verify patient insurance information, eligibility, and prior authorization requirements.
• Maintain accurate records of billing activities and patient accounts.

• Collaborate with office staff and payers to address billing and reimbursement issues.
• Provide clear communication to patients regarding their billing, payments, and financial responsibilities.
• Respond to inquiries from payers, patients, and colleagues in a professional and timely manner.

• High school diploma or equivalent (required); associate’s or bachelor’s degree in a related field (preferred).
• Certification in medical billing and coding (e.g., CPC, CHBME) is highly desirable.
• 1-3 years of experience in medical billing, preferably in a home health care setting.

• Strong knowledge of home health billing codes, insurance guidelines, and reimbursement processes.
• Proficiency with electronic health records (EHR) and billing software.
• Attention to detail and accuracy in data entry and documentation.
• Excellent problem-solving and organizational skills.
• Strong written and verbal communication skills.

• Familiarity with Medicare and Medicaid billing guidelines specific to home health.
• Experience with claim submission platforms such as Medicare DDE and clearinghouses.
• Knowledge of HIPAA regulations to ensure patient confidentiality.

• Families First:
  Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
• Urgency with Precision:
  Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.
• Relentlessly Resourceful:
  As an ambitious startup, we adapt quickly and…