Home Health Billing Representative

Job Title - Billing Account Coordinator

Location - Remote (TN, GA, AL, FL, NC, SC, KY)

Job Type - Full-Time

Department - CBO Home Health

Pay - $22.00

About MedSrv, LLC

As the healthcare industry continues to grow, so does the need for consistent, effective Revenue Cycle Management. At MedSrv, we believe it takes more than just technology and technical expertise to make a difference. It takes innovation, a willingness to adapt, and a passion to be the best. We are the difference in Revenue Cycle Management – guided by faith and committed to serving with integrity and compassion.

Position Summary

The Home Health Billing Representative prepares and submits claims and manages assigned accounts receivable for home health services. This position verifies billing documentation, tracks required notices, resolves claim and payment issues, and coordinates with agency staff and payers to support accurate billing and timely reimbursement. The Representative monitors payer requirements, documents account activity, and reports trends and barriers to the Billing Supervisor.

Essential Duties and Responsibilities

Home Health Billing

Prepare and submit clean UB-04/837I claims for Patient-Driven Groupings Model (PDGM) 30-day periods and fee-for-service billing.

Submit and track Notices of Admission (NOA) within required timeframes.

Verify that OASIS and visit documentation, physician orders, and face-to-face requirements are complete before billing; coordinate missing items with agency staff.

Bill Medicare through the Medicare Administrative Contractor (MAC) using FISS Direct Data Entry (DDE), and bill Medicaid, Medicare Advantage, VA/Community Care, and commercial payers according to applicable requirements.

Accounts Receivable

Work assigned accounts receivable by payer and aging bucket, prioritizing high-dollar accounts and accounts at risk of exceeding timely-filing deadlines.

Research and resolve denials, rejections, return-to-provider (RTP) claims, and additional documentation requests (ADRs).

File corrected claims and appeals within applicable payer timeframes.

Follow up with payers by phone and payer portal and document every action in the electronic medical record (EMR).

Verify eligibility and benefits and track authorizations for managed care patients.

Reporting and Teamwork

Provide the Billing Supervisor with updates regarding payer, billing, documentation, and accounts receivable trends.

Partner with agency staff to resolve documentation holds and obtain information needed for billing and account resolution.

Stay current on CMS, MAC, and payer rule changes and flag operational impacts to leadership.

Protect confidential patient and client information and follow company privacy, security, and compliance procedures.

Perform other related duties as assigned.

Education and Experience

High school diploma or equivalent required.

Minimum of two years of home health experience required.

Knowledge, Skills, and Abilities

Knowledge of home health billing, payer requirements, eligibility verification, authorizations, claim corrections, denials, and appeals.

Knowledge of PDGM 30-day billing periods, NOA requirements, and OASIS-related billing documentation.

Ability to review billing documentation for completeness and identify issues requiring agency or supervisor follow-up.

Ability to prioritize accounts based on aging, dollar value, and timely-filing risk.

Proficiency with EMR and billing systems, payer portals, and standard office applications.

Strong attention to detail, organization, problem-solving, and written and verbal communication skills.

Ability to maintain confidentiality and collaborate effectively with agency staff and internal teams.

Work Environment and Physical Requirements

Work involves sustained use of a computer, telephone, EMR, billing systems, and payer portals.

Ability to review detailed account information, maintain accurate records, and communicate effectively with agency staff, payers, and internal teams.

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Ready to make a difference in healthcare?

Apply today and join MedSrv - where we guide by faith and serve with heart.

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