Angels In Your Home — Нью-Йорк штатының Рочестер қаласында орналасқан, отбасыларға үйде көрсетілетін қажетті көмек пен күтімді ұсынатын лицензияланған үйде күтім көрсету қызметі агенттігі. Бұл денсаулық сақтау ұйымы сондай-ақ клиенттерге жеке қажеттіліктеріне сай жекелендірілген қолдау алуға көмектесетін Тұтынушы бағыттайтын жеке көмек көрсету бағдарламасын (CDPAP) ұсынады.
Medical Biller and Accounts Receivable Specialist – New York Remote
Handle home care claims, denials, payments, and receivables for Angels In Your Home, a New York LHCSA. This fully remote role supports Medicaid and payer reimbursement.
Сипаттама
- Prepare, review, and submit complete, accurate, and timely claims for home care services
- Examine authorizations, care plans, schedules, timesheets, EVV records, and related documentation before billing
- Confirm billed units, service dates, codes, rates, authorizations, and caregiver documentation
- Track claims from submission through adjudication and payment
- Post and reconcile payments, remittances, adjustments, denials, and other account transactions
- Maintain and reconcile receivables, including unpaid, underpaid, denied, rejected, and outstanding claims
- Flag billing discrepancies and coordinate with internal teams to secure corrections or missing records
- Investigate and resolve denials, rejections, underpayments, authorization variances, and reimbursement problems
- Correct and resubmit claims as needed, following each case through resolution
- Communicate with Medicaid managed care plans, insurers, payer representatives, and other funding sources
- Compare payer remittances with expected reimbursement and investigate variances
- Support collections and follow up on outstanding balances and aging receivables
- Keep billing records and supporting documentation accurate and aligned with agency and payer requirements
- Apply Medicaid, managed care, EVV, payer, HIPAA, and agency billing requirements consistently
- Protect the confidentiality of patient, employee, payer, and agency information
- Keep current with payer updates, billing rules, reimbursement changes, and revised processes
- Work collaboratively with scheduling, intake, payroll, clinical, compliance, and administrative teams
- Support billing reports, reconciliations, audits, and other accounts receivable activities
Талаптар
- Previous experience in medical, healthcare, home care billing, accounts receivable, or claims processing
- Experience handling insurance claims, payer reimbursement, denials, collections, and receivables
- Thorough knowledge of the billing cycle from service documentation and claim filing through payment, denial resolution, and reconciliation
- Strong analytical, investigative, and problem-solving abilities with close attention to detail
- Ability to detect discrepancies in documentation, schedules, authorizations, units, rates, payments, and claims
- Ability to independently investigate billing issues and manage claims through resolution
- Clear and effective written and verbal communication skills
- Ability to balance competing priorities, meet billing deadlines, and maintain well-organized, accurate records
- Working proficiency with Microsoft Office, especially Excel and Outlook
- High school diploma or equivalent
- At least two years of medical billing, healthcare billing, or accounts receivable experience preferred
- Previous home care or LHCSA billing experience strongly preferred
- Experience billing New York Medicaid managed care plans strongly preferred
- Knowledge of Medicaid, managed care authorizations, EVV, claim submission, remittance, denial management, and reimbursement workflows
- HHAeXchange experience strongly preferred
- Experience with EDI/837 claims, electronic remittance/835 files, clearinghouses, or payer billing portals is a plus
- Associate degree or additional education or training in medical billing, healthcare administration, accounting, or a related discipline preferred