Billing Specialist - HomeCare jobs in United States
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Hartford HealthCare · 3 days ago

Billing Specialist - HomeCare

Hartford HealthCare is Connecticut’s most comprehensive healthcare network, seeking a Billing Specialist to manage billing processes for home health and hospice services. The role involves ensuring timely submission of claims, resolving billing issues, and supporting revenue cycle operations to optimize reimbursement and compliance.

Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
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H1B Sponsor Likelynote

Responsibilities

Prepare and submit accurate Medicare, Medicaid, and Commercial insurance claims through Home Care Home Base (HCHB) and Waystar billing platforms
Ensure compliance with Patient - Drive Groupings Model (PDGM) billing rules and payer-specific guidelines
Monitor, review, and follow up on claims, including aging accounts receivable, denied or rejected claims
Resubmit overdue accounts and escalate seriously overdue accounts to collections when necessary
Collaborate with cross-functional teams including Intake, Authorization, Clinical, Operations Support Office (OSO), and Regional staff to ensure billing accuracy and resolve any discrepancies
Respond to billing inquiries from internal and external stakeholders
Participate in Accounts Receivable (AR) and Billing Accountability Meetings (BAM)
Prepare and review relevant reports such as billing summaries, bad debt, and outstanding AR to ensure accuracy and completeness
Assist with audits and provide documentation as needed
Other duties as assigned related to billing and revenue cycle operations

Qualification

Home Health billing experienceHCHB EMR proficiencyMedicare billing knowledgeMedicaid billing knowledgeCommercial insurance billingAnalytical skillsDeadline managementOrganizational skillsCommunication skillsWork independently

Required

High school diploma required
Minimum 2 years of billing experience in Home Health and/or Hospice required
The Billing Specialist must have Home Health and Hospice billing experience
Proficiency with HCHB EMR, clearinghouses such as DDE and Waystar
A strong understanding of Medicare, Medicaid, and commercial insurance billing
Excellent organizational, analytical, and communication skills
Ability to work independently and manage multiple priorities in a deadline-driven environment

Preferred

Bachelor's Degree Business Administration or related field Preferred
2-5 years of experience preferably in Home Care preferred

Benefits

Competitive benefits program designed to ensure work/life balance

Company

Hartford HealthCare

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Hartford HealthCare is a group of hospitals that offers complete healthcare services including cancer care, rehabilitation and pharmacy.

H1B Sponsorship

Hartford HealthCare 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 (9)
2024 (2)
2023 (4)
2022 (6)
2021 (4)
2020 (8)

Funding

Current Stage
Late Stage
Total Funding
$150M
Key Investors
Connecticut Health and Educational Facilities Authority
2024-04-01Debt Financing· $150M

Leadership Team

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Jeffrey Flaks
President & Chief Executive Officer, Hartford HealthCare
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Bimal Patel
Executive Vice President/ Chief Operating Officer
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Company data provided by crunchbase