Key Responsibilities: 

• Accurately post payments, adjustments, and denials from insurance carriers, Medicare, Medicaid, and private pay patients to the appropriate accounts.
• Verify payment amounts and ensure correct allocation of funds according to billing guidelines and patient accounts.
• Reconcile daily cash receipts with system records and follow up on discrepancies.
• Maintain accurate documentation for all posted transactions and adjustments.
• Communicate with the billing team to resolve any issues with posted payments or outstanding balances.
• Assist with research and resolution of denied claims and payment discrepancies, working closely with payers and insurance representatives.
• Monitor and update patient accounts for correct payment allocation and proper adjustments.
• Ensure timely and accurate posting of all payments to support cash flow and financial reporting.
• Collaborate with the finance department to prepare reports and ensure compliance with revenue cycle procedures.
• Stay updated on industry changes and insurance regulations impacting home health and hospice billing. 

Qualifications: 

• High school diploma or equivalent; associate's or bachelor’s degree in healthcare administration or related field preferred.
• 2+ years of experience in medical billing or revenue cycle management, specifically in home health and hospice environments.
• Knowledge of Medicare, Medicaid, and private insurance billing practices and regulations.
• Strong understanding of medical terminology, CPT, ICD-10 codes, and billing codes.
• Excellent attention to detail and accuracy in posting payments and handling accounts.
• Proficient in using Home Care Homebase and billing software (Inovalon).
• Strong organizational and time-management skills, with the ability to prioritize tasks.
• Excellent communication skills, both verbal and written.
• Ability to work independently and as part of a team in a fast-paced environment. 

Preferred Skills: 

• Experience with Home Health and Hospice-specific billing systems and coding.
• Familiarity with claims processing and follow-up procedures.
• Knowledge of healthcare compliance and regulatory requirements.
• Ability to analyze financial reports and provide actionable insights.