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About the Role

Abby Care is seeking a Medical Biller for Home Health Services to accurately prepare, submit, and follow up on claims to insurance companies, government payers, and patients. This role ensures timely reimbursement for services, compliance with regulations, and effective communication with 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 (required).
• 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.
• 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.
• Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Skills

• Medical billing
• Home health billing codes
• Insurance guidelines
• Reimbursement processes
• Electronic health records (EHR)
• Billing software
• Data entry
• Documentation
• Problem-solving
• Organizational skills
• Written communication
• Verbal communication
• Medicare billing
• Medicaid billing
• HIPAA regulations

Location

• Home Health Services

Work Type

• Full-time

Experience Level

• 1-3 years

Education Level

• High school diploma or equivalent
• Associate's degree (preferred)
• Bachelor's degree (preferred)
• Certification in medical billing and coding (highly desirable)

Salary/Compensations

• Competitive compensation packages
• Annual company performance bonus

Benefits

• Comprehensive health coverage (medical, dental, vision)
• $0 deductible PPO
• Company-funded HSA
• Employer-paid life and disability insurance
• Generous paid time off
• 10 paid company holidays
• HSA contributions
• Optional FSA
• 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.
• America is facing a growing care crisis with millions needing care at home.
• Over 50 million family caregivers support loved ones without adequate tools, training, or recognition.
• Abby Care believes families are the largest untapped caregiving workforce and technology can help them deliver better care.
• The platform combines clinical oversight with AI to train, enable, and support family caregivers.
• Abby Care helps health plans and government partners understand, verify, and improve care in the home.
• The company expands access to care, reduces reliance on higher-cost settings, and ensures public dollars are spent effectively.
• Abby Care partners with leading health plans, providers, and community organizations and is backed by top VCs.
• The company envisions a future where family-led care is a core part of the healthcare system.
• 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.