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About the Role

Responsible for accurately preparing, submitting, and following up on claims to insurance companies, government payers (e.g., Medicare, Medicaid), and patients. This role ensures timely reimbursement for home health services, compliance with regulations, and effective communication with healthcare providers and payers.

Responsibilities

• Prepare, review, and submit accurate claims to insurance companies.
• Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered.
• Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care.
• Use billing software to process and track claims.
• Monitor claim status and follow up on unpaid or denied claims promptly.
• Investigate and resolve claim discrepancies, denials, and appeals.
• Generate reports for outstanding accounts receivable and payment trends.
• Ensure all billing practices comply with federal, state, and local regulations.
• Verify patient insurance information, eligibility, and prior authorization requirements.
• Maintain accurate records of billing activities and patient accounts.
• Collaborate with office staff and payers to address billing and reimbursement issues.
• Provide clear communication to patients regarding their billing, payments, and financial responsibilities.
• Respond to inquiries from payers, patients, and colleagues in a professional and timely manner.

Requirements

• High school diploma or equivalent
• Associate’s or bachelor’s degree in a related field (preferred)
• Certification in medical billing and coding (e.g., CPC, CPB) is highly desirable
• 1-3 years of experience in medical billing, preferably in a home health care setting

Skills

• Strong knowledge of home health billing codes, insurance guidelines, and reimbursement processes
• Proficiency with electronic health records (EHR) and billing software
• Attention to detail and accuracy in data entry and documentation
• Excellent problem-solving and organizational skills
• Strong written and verbal communication skills
• Familiarity with Medicare and Medicaid billing guidelines specific to home health
• Experience with claim submission platforms such as Medicare DDE and clearinghouses
• Knowledge of HIPAA regulations to ensure patient confidentiality

Experience Level

• 1-3 years of experience

Education Level

• High school diploma or equivalent
• Associate’s or bachelor’s degree in a related field (preferred)
• Certification in medical billing and coding (e.g., CPC, CPB)

Salary/Compensations

• Competitive compensation packages
• Annual company performance bonus for full-time employees

Benefits

• Competitive compensation packages
• Annual company performance bonus for full-time employees
• Comprehensive health coverage: high-quality medical, dental, and vision options
• $0 deductible PPO option
• Company-funded HSA
• Employer-paid life and disability insurance
• Generous paid time off
• 10 paid company holidays
• HSA contributions
• Optional FSA and commuter benefits
• Full coverage of all 401(k) account fees
• Paid parental leave

About the Company

• Abby Care is building the leading AI-native platform for family-led care, addressing America's growing care crisis where millions need home care and over 50 million family caregivers lack adequate tools.
• We believe families are the largest untapped caregiving workforce, and technology can help them deliver better care, driving stronger outcomes and greater transparency across the healthcare system.
• Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home.
• Our platform helps health plans and government partners better understand, verify, and improve care in the home, expanding access, reducing reliance on higher-cost settings, and ensuring effective public dollar spending.
• Proud to partner with leading health plans, providers, and community organizations, backed by top VCs.
• We envision a future where family-led care is a core part of the healthcare system.
• Our Values: Families First, Urgency with Precision, Relentlessly Resourceful, Purpose with Positivity, Driven to Redefine What’s Possible.

Equal Opportunity

• We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws.
• Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.