30 days old

Home Health Billing Specialist

Virginia Beach, Virginia 23451
  • Jobs Rated

The Home Health Billing Specialist performs a variety of advanced duties involved in the billing and collections for skilled Home Health Care, Home Care, and Hospice services provided by Westminster-Canterbury and partners in accordance with established procedures and regulations.  Files accurate medical claims on a timely basis to Medicare, insurance companies, and responsible parties.  

Maintains an accurate accounting of insurance billing, payments, etc.  Assists patients and responsible parties with questions and concerns regarding their accounts.


  • Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information
  • Prepares bills/data for all pay sources, fulfilling individual requirements for each pay source in order to bill accurately
  • Adjusts any billing/data errors found on bill in a timely manner
  • Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form
  • Follows up with insurance company on unpaid or rejected claims, resolves issues, and re-submits claims
  • Responds to inquiries regarding all pay sources and verifies client coverage accurately and timely
  • Processes month-end billing and reports and prints them (bills and reports) for all pay sources, ensuring that each pay source is processed separately and in a timely manner
  • Fulfills individual requirements for processing and transmitting RAPs and final claims on an immediate and daily basis and confirms that transmission has been received by the MAC
  • Enters all contractual adjustments by the end of month closing including impact of LUPAs, SCICs and PEPs
  • Posts cash receipts to patient accounts; reviews remittance advises to confirm that expected payment was received; and follows up with payor and re-bills claims not paid or paid incorrectly
  • Reports credit balances and overpayments to pay source immediately
  • Records claims denials, investigates reasons, and re-bills, if possible
  • Collects accounts receivable from all pay sources, calls pay sources to collect accounts receivables in a timely manner, documenting on call sheet, and follows up with all unanswered claims
  • Compiles the aged trial balance within one week of month end close, or as otherwise directed, following up on outstanding balances and taking necessary action to resolve the balance
  • Handles all data confidentially and in compliance with HIPAA regulations
  • Serves as department liaison to Home Health partners
  • Performs other duties as requested, including temporary assignments/rotations


  • Minimum two years of medical billing experience required, preferably skilled Home Health billing with an emphasis on Medicare and Commercial payers
  • Medicare PPS and/or Medicare physician billing experience preferred
  • Knowledge of general medical recordkeeping procedures
  • Knowledge of medical coding including ICD and CPT medical billing codes
  • Strong computer skills, including Microsoft Office (Word, Excel, Outlook) and the internet
  • Demonstrated proficiency in Allscripts or similar software preferred
  • Excellent interpersonal and communication skills (written and verbal)
  • Able to communicate well and demonstrate appropriate customer service with other staff, residents, and other third-parties
  • Able to handle multiple tasks simultaneously and react quickly under stringent timeframes to meet fixed deadlines
  • Organized and detail oriented
  • Must be willing to work overtime to meet billing deadlines
  • Demonstrated ability to establish and maintain effective working relationships with employees, residents, other agencies, and Home Health Partners


  • Medical Insurance Coverage First Day of Employment!
  • Dental Insurance Coverage First Day of Employment!
  • Paid Time Off (PTO)
  • Retirement Plan
  • Life Insurance
  • Scholarship Program for Employees/Family Members
  • Employee Assistance Program
  • Excellent Advancement Opportunities
  • Employee Discounts
  • WCCB Educational Partnerships include Tuition Discounts for employees and family members at more than 10 Higher Learning Institutions.
  • Long-term Disability Insurance
  • Short-term Disability Insurance
  • Vision



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Home Health Billing Specialist

Westminster Canterbury on Chesapeake Bay
Virginia Beach, Virginia 23451

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Home Health Billing Specialist

Westminster Canterbury on Chesapeake Bay
Virginia Beach, Virginia

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Home Health Aide
121st2018 - Home Health Aide
Overall Rating: 121/220
Median Salary: $23,130

Work Environment
Very Good
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