What are the responsibilities and job description for the Billing Assistant position at LEL Home Services?
Billing Assistant
The Billing Assistant provides administrative and operational support to the Billing Department by assisting with daily billing activities for LEL Home Services and Home Health programs. This position supports the Billing Manager with claim preparation, payment posting, eligibility verification, claim corrections, documentation, accounts receivable follow-up, and other billing-related functions. The Billing Assistant is responsible for helping ensure billing records are accurate, complete, organized, and up to date. The position works closely with the Billing Manager and other internal departments to help identify billing discrepancies, resolve claim issues, support timely reimbursement, and maintain compliance with applicable payer requirements and organizational policies.
Reports to: Billing Manager
KEY RESPONSIBILITIES
• Prepare, review, and submit billing batches and claims, ensuring accuracy, completeness, and compliance with payer requirements.
• Perform pre-billing audits and assist with identifying and correcting claim errors, rejected claims, and denied claims.
• Upload and submit electronic claims through EDI systems and monitor billing activity through applicable billing systems and payer portals.
• Verify Medicaid and payer eligibility and identify eligibility issues that may impact billing and reimbursement.
• Assist with data entry and documentation related to Notices of Authorization (NOAs), authorizations, and service records.
• Retrieve and review remittance advice, post payments and adjustments, and assist with reconciling deposits to payment records.
• Review outstanding claims and unpaid balances, conduct accounts receivable follow-up, and document claim status and resolution efforts.
• Research billing discrepancies, payment issues, claim denials, rejections, and delayed payments, escalating unresolved or complex issues to the Billing Manager.
• Maintain accurate and organized billing, payment posting, accounts receivable, and supporting documentation.
• Assist with identifying discrepancies between eligibility, authorizations, service documentation, and billed services.
• Support the Billing Manager with billing audits, documentation requests, reports, spreadsheets, tracking logs, and other departmental administrative needs.
• Maintain confidentiality of patient, client, employee, and organizational information in accordance with company policies and applicable privacy requirements.
• Communicate professionally with internal departments regarding billing, documentation, eligibility, and claims-related matters.
• Participate in departmental meetings and training as required.
• Perform other duties as assigned.
PHYSICAL REQUIREMENTS
• Ability to sit for extended periods while performing computer and office-based duties.
• Ability to use a computer and other office equipment for prolonged periods, potentially up to 8 hours or more per day.
• Frequent use of hands and fingers for typing, writing, and operating office equipment.
• Ability to communicate professionally and clearly by phone, email, video conferencing, and in person.
• Ability to participate in meetings, training sessions, and other departmental activities.
• Ability to maintain concentration and attention to detail during extended periods of computer-based work
WORK ENVIRONMENT
• This is a full-time, in-office position.
• Work is primarily performed in a professional office environment.
• The position requires regular interaction with the Billing Manager, Billing Department, and other internal departments.
• The employee is expected to maintain a professional, organized, and confidential work environment.
LEL Home Services is an Equal Opportunity Employer. We are committed to fostering, cultivating, and preserving a culture of diversity, equality, and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law.