Home Health Biller jobs in United States
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TEKsystems · 5 days ago

Home Health Biller

TEKsystems is a leading provider of business and technology services, and they are seeking a Home Health Biller to support their in-house Revenue Cycle operations. The role involves performing full end-to-end billing and follow-up for Home Health and Hospice services, managing claims across multiple payer portals, and ensuring accurate billing workflows as the program transitions from an outsourced model.

Information Technology
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H1B Sponsor Likelynote

Responsibilities

Perform full end‑to‑end billing and follow‑up for Home Health and Hospice services
Work primarily in MatrixCare (also referred to as Care Matrix) for Home Health & Hospice billing
Navigate EPIC regularly due to the high volume of referrals originating from the hospital system
Submit and manage claims across multiple payer portals, with Medicare comprising the majority of the patient population
Handle a manageable patient volume of approximately 100 patients per month
Take Full Ownership Of Billing Operations, Including
Claim submission
Payment posting
Denial management
Follow‑up and resolution
Support the re‑establishment of in‑house billing workflows as the program transitions from an outsourced model
Adapt to a learning curve as processes, workflows, and internal handoffs are newly being rebuilt
Collaborate with clinical and operational teams to ensure accurate and timely billing
Submit Inpatient/Outpatient electronic and paper claims (UB-04 and 1500) to the appropriate government and non-government payers
Understand how to resolve Billing errors and/or warnings that are identified in the Patient Accounting and Billing System
Keep abreast of payer-specific and government requirements and regulations
Ensures claim information is complete and accurate in order to accelerate cash collections
Analyze information contained within the Patient Accounting and Billing system to make decisions on how to proceed with the billing of an account
Processes rejections by correcting any billing error and resubmitting claims to government and non-government payers
Place unbillable claims on hold and properly communicate to various Hospital departments the information needed to accurately bill
Process late charge claims in the event that charges are not entered in a timely fashion by Hospital Departments
Submit corrected claims in the event that the original claim information has changed for various reasons
Perform the billing of complex scenarios such as interim, self-audit, combined, and split billing etc
Limit the number of unreleased claims by reviewing all imported claims and either billing or holding the claim for further review
Meet Billing productivity and quality requirements as developed by Leadership
Measured on high production levels, quality of work output, in compliance with established CRH’s policy and standards
Record or generate revenue by gathering and processing information that impacts the patient revenue process
Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met
Keep abreast of payer-specific and government requirements and regulations
Follow up on unprocessed or unpaid claims until a claims resolution is achieved
Generates letters to insurance or patients as needed in order to resolve unpaid claim issues
Works on and maintains spreadsheets by sorting/adding pertinent data
Analyze information contained within the billing systems to make decisions on how to proceed with the account
Work independently and has the ability to make decisions relative to individual work activities
Identify comments in the billing systems by using initials and using approved abbreviations for universal understanding
Keep documentation clear, concise, and to the point, while including enough information for a clear understanding of the work performed and actions needed
Create appropriate documentation, correspondence, emails, etc. and ensure that they are scanned to the proper account for accurate documentation
Read, understand, and explain benefits from all payers to coworkers, physicians, and patients
Make phone calls, use the internet, and send mail to payers for follow-up on unprocessed claims, incorrectly processed claims, or claims in question
Develop relationships with customers/patients/co-workers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction
Post accurate adjustments as appropriate per billing policies and procedures, payer explanation of benefits, and the management directive
Maintain work procedures pertinent to the job assignment
Accountable for individual work activities
Resolve questions that arise regarding correct charging and/or other concerns regarding services provided
Complete cross-training, as deemed necessary by management, to ensure efficient department operations
Report potential or identified problems with systems, payers, and processes to the manager in a timely manner
Complete special project assignments in a timely fashion
Follows HIPAA guidelines in order to maintain strict confidentiality of all patient financial and hospital information at all times
Perform other duties as assigned

Qualification

Home Health BillingHospice BillingMedicareMatrixCareEPICComputer navigationEMR ExperienceProblem solving

Required

Direct revenue cycle experience
Experience with Home Health and Hospice billing
Ability to perform full end-to-end billing and follow-up for Home Health and Hospice services
Experience working in MatrixCare for Home Health & Hospice billing
Regular navigation of EPIC due to high volume of referrals from the hospital system
Ability to submit and manage claims across multiple payer portals, with Medicare as the majority
Ability to handle a manageable patient volume of approximately 100 patients per month
Experience with claim submission, payment posting, denial management, follow-up and resolution
Knowledge of submitting Inpatient/Outpatient electronic and paper claims (UB-04 and 1500)
Ability to resolve billing errors and/or warnings in the Patient Accounting and Billing System
Knowledge of payer-specific and government requirements and regulations
Ability to analyze information in the Patient Accounting and Billing system for billing decisions
Experience processing rejections by correcting billing errors and resubmitting claims
Ability to place unbillable claims on hold and communicate with Hospital departments
Experience processing late charge claims
Ability to submit corrected claims when original claim information changes
Experience billing complex scenarios such as interim, self-audit, combined, and split billing
Ability to limit unreleased claims by reviewing imported claims
Ability to meet billing productivity and quality requirements
Ability to record or generate revenue by processing information impacting patient revenue
Experience reviewing patient financial records and/or claims prior to submission
Ability to follow up on unprocessed or unpaid claims until resolution
Ability to generate letters to insurance or patients for unpaid claim issues
Experience maintaining spreadsheets with pertinent data
Ability to work independently and make decisions on work activities
Ability to identify comments in billing systems using approved abbreviations
Ability to keep documentation clear, concise, and informative
Ability to create appropriate documentation and correspondence
Ability to read, understand, and explain benefits from all payers
Ability to make phone calls, use the internet, and send mail for claims follow-up
Ability to develop relationships with customers/patients/co-workers for information gathering
Ability to post accurate adjustments per billing policies and procedures
Ability to maintain work procedures pertinent to the job assignment
Accountability for individual work activities
Ability to resolve questions regarding correct charging and services provided
Ability to complete cross-training as necessary
Ability to report problems with systems, payers, and processes
Ability to complete special project assignments in a timely fashion
Knowledge of HIPAA guidelines to maintain confidentiality
Ability to perform other duties as assigned

Preferred

EMR Experience
Strong computer navigation skills
Ability to think independently and problem solve

Benefits

Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

Company

TEKsystems

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At TEKsystems, they understand people. Every year they deploy over 80,000 IT professionals at 6,000 client sites across North America,

H1B Sponsorship

TEKsystems has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (46)
2024 (52)
2023 (33)
2022 (22)
2021 (36)
2020 (53)

Funding

Current Stage
Late Stage

Leadership Team

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Ryan Skains
Vice President, TEKsystems Global Services
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Company data provided by crunchbase