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About the Role
Extended Home Care is seeking an experienced Home Health Billing Professional to join our Revenue Cycle team. This role is responsible for ensuring the accurate and timely processing of home health claims, payments, and collections while maintaining compliance with billing regulations and payer requirements.
Responsibilities
- Submit and manage home health claims accurately and timely.
- Research, correct, and resubmit clearinghouse claim rejections and denials.
- Resolve claim edits, duplicate claims, overlap issues, and payer-related billing discrepancies.
- Reconcile claims, payments, and adjustments from 835 files.
- Manage Managed Care and commercial claims through payer portals and clearinghouses.
- Collaborate with Clinical Intake, Coding, QA, and Clinical Operations teams to ensure billable readiness.
- Monitor aging reports and maintain accurate account follow-up documentation.
- Ensure compliance with CMS regulations, payer requirements, and company policies while safeguarding patient information (PHI).
Requirements
- Minimum of 2 years of healthcare billing and collections experience with hands on DDE FISS experience.
- Strong knowledge of denials management, CARC codes, revenue codes, HCPCS codes, and Type of Bills (TOBs).
- Experience researching and resolving claim rejections and billing edits.
- Knowledge of EDI transactions, including 837I, 835, 276/277, and 999 files.
- Experience working with Managed Care payer portals.
- Strong attention to detail, organizational skills, and sense of urgency.
- Home health billing experience strongly preferred.
- Experience with McKesson and/or WellSky.
- Basic Excel skills.
Skills
- DDE FISS
- Denials management
- CARC codes
- Revenue codes
- HCPCS codes
- Type of Bills (TOBs)
- EDI transactions
- 837I
- 835
- 276/277
- 999 files
- Managed Care payer portals
- McKesson
- WellSky
- Excel
Location
- New Hyde Park, NY
Work Type
- Full-Time
- On-Site
Experience Level
- 2 years of healthcare billing and collections experience
Salary/Compensations
- $25.00 – $29.00 per hour
Benefits
- Health, Dental, and Vision Insurance
- 401(k) with Company Match
- Paid Holidays
- Generous PTO Package
- Paid Orientation
- Employee Referral Program
About the Company
- Extended Home Care is dedicated to delivering exceptional home health services throughout New York.