The Medicare Billing Specialist is responsible for processing and submitting accurate Medicare claims while managing denials, appeals, and payment reconciliations. They must also ensure compliance with billing regulations and coordinate with clinical staff to resolve discrepancies.
Benefits:
- 401(k)
- 401(k) matching
- Flexible schedule
- Health insurance
- Home office stipend
- Paid time off
About the Role:
Care Essentials Home Health is looking for a detail-oriented Medicare Billing Specialist to join our dedicated team in San Bernardino, AL. This is an exciting opportunity to play a vital role in ensuring accurate and timely reimbursement while supporting a mission-driven organization committed to exceptional in-home patient care.
Responsibilities:
- Process and submit Medicare claims accurately and in a timely manner using billing software
- Review and verify patient insurance eligibility, authorizations, and coverage details
- Monitor claim status, identify denials, and manage appeals and resubmissions
- Reconcile payments and post remittance advice (ERA/EOB) to patient accounts
- Ensure compliance with Medicare billing regulations, coding guidelines, and home health billing requirements
- Coordinate with clinical and administrative staff to resolve billing discrepancies
- Maintain accurate and organized billing records and documentation
Requirements:
- Minimum 2 years of experience in Medicare billing, preferably in a home health or healthcare setting
- Strong knowledge of Medicare billing guidelines, UB-04 claims, and OASIS documentation
- Familiarity with ICD-10 coding and CPT codes
- Proficiency in medical billing software and Microsoft Office Suite
- Experience managing claim denials, appeals, and accounts receivable follow-up
- Exceptional attention to detail, organizational skills, and ability to meet deadlines
- Strong communication skills and ability to collaborate across departments
About Us:
Care Essentials Home Health is a trusted provider of quality in-home healthcare services, dedicated to improving the lives of patients in the communities we serve. Our patients choose us for our compassionate, personalized care, and our team members thrive in a supportive environment that values integrity, growth, and making a real difference every day.
This is a remote position.