Angels In Your Home — Nyu-York shtatining Rochester shahrida joylashgan, oilalarga uyda zarur yordam va parvarish ko‘rsatadigan litsenziyalangan uyda parvarishlash xizmati agentligidir. Ushbu tibbiy xizmat tashkiloti, shuningdek, mijozlarga individual ehtiyojlariga moslashtirilgan yordam olishda ko‘maklashadigan Iste’molchi tomonidan boshqariladigan shaxsiy yordam dasturini (CDPAP) ham taqdim etadi.
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.
Tavsif
- 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
Talablar
- 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