Billing Analyst I

Accountabilities • Perform claim audits and review billing accuracy for Medicare, prospective payment system (PPS) Medicare, and commercial insurance claims.

• Maintain and monitor OASIS reports to support accurate home health documentation and billing processes.

• Review unbilled Medicare and non-Medicare reports weekly to identify outstanding claims and ensure timely submission.

• Submit Medicare and non-Medicare claims daily, ensuring completeness, accuracy, and compliance with payer requirements.

• Review pre-post billing reports every two weeks to verify that all visits have the appropriate usual and customary rates and contractual adjustments.

• Investigate and resolve Medicare and non-Medicare claim rejections, coordinating with relevant teams and payers when additional information is required.

• Enter detailed billing notes for outstanding accounts over 30 days and ensure follow-up activities are properly documented.

• Contact insurance companies to verify the status of outstanding claims, investigate delays, and facilitate payment resolution.

• Process requests for additional documentation and information from insurance companies to support claim adjudication.

• Respond to billing queue calls and assist with patient billing inquiries, including collecting patient payments by phone.

• Manage monthly billing activities involving Medicare, Medicare Advantage/HMO plans, and third-party agencies, ensuring accounts are processed accurately.

• Review monthly SOX reports to confirm that every account outstanding for more than 30 days contains an appropriate billing note.

• Work closely with billing team leads and supervisors to maintain productivity, resolve discrepancies, and support efficient revenue cycle operations.

Requirements

• High school diploma or equivalent.

• One to three years of billing experience preferred, ideally in home health, hospice, or another healthcare setting.

• Required experience with Homecare Homebase and Waystar.

• Proficiency in Microsoft Office applications, including the ability to manage spreadsheets, review reports, and maintain accurate billing records.

• Knowledge of eSolutions, Waystar, and commercial insurance web portals for claims submission, tracking, and follow-up.

• Understanding of Medicare FSSO DDE software and related Medicare billing processes.

• Strong computer skills and the ability to navigate multiple billing systems and electronic records efficiently.

• Excellent attention to detail, with the ability to identify discrepancies, verify claim information, and maintain complete documentation.

• Strong verbal and written communication skills to interact professionally with insurance representatives, patients, and internal colleagues.

• Demonstrated patience, flexibility, and a cooperative attitude when managing billing inquiries, rejected claims, and competing priorities.

• Strong organizational and time-management skills, with the ability to meet daily billing deadlines and maintain consistent follow-up on outstanding accounts.

• A conscientious and dependable approach to handling sensitive financial and patient-related information.

Benefits

• Hourly compensation: $21.00–$23.00 per hour, with the stated range capped at $23.00 per hour.

• Fully remote work: Work from home anywhere in the United States, with a Monday–Friday schedule from 8:00 AM to 5:00 PM Eastern or Central Time.

• Medical coverage: Medical, dental, and vision insurance options for eligible employees and their families.

• Retirement savings: Access to a 401(k) plan and pension or company contribution arrangements, subject to applicable plan terms.

• Paid time off: 15 days of PTO, with opportunities for accrual growth based on tenure, plus six paid holidays and one personal day.

• Life and disability insurance: Company-paid life insurance and disability benefits.

• Flexible healthcare spending options: Access to eligible pre-tax Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).

• Education assistance: Tuition discounts for selected courses offered through Purdue and Kaplan.

• Career development: Opportunities to build healthcare billing expertise and pursue professional advancement.

• Supportive team environment: Collaboration with experienced billing professionals and supervisors in a healthcare-focused organization.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether?

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