Billing Specialist

We are looking for an organized, detail-oriented Billing Specialist to own our accounts receivable cycle from start to finish. You will prepare and submit invoices and claims for our private-pay clients and institutional payers (insurance companies, long-term care insurance, the VA, Regional Centers and others), track payments and outstanding balances, follow up on unpaid or denied claims, and serve as the main point of contact for clients and families on billing questions. This role works closely with Scheduling, Payroll and Client Services to make sure authorized hours, delivered visits and billed amounts all reconcile.

The ideal candidate has hands-on A/R or medical billing experience, is comfortable working across multiple payer portals and billing systems (we use WellSky for timesheets and billing), and communicates clearly and kindly with clients who may be navigating a difficult time. You should be able to work independently, manage recurring deadlines, and keep accurate, confidential records.

Responsibilities

Billing and Claims

• Prepare and submit accurate invoices and claims to private-pay clients and institutional payers on their required schedules and formats using WellSky and payer portals
• Verify that billed hours match approved authorizations, care plans and WellSky visit records/timesheets before submission
• Bill Regional Centers through the vendor portal against monthly purchase-of-service (POS) authorizations
• Submit VA community care claims and track referral numbers and expiration dates
• Prepare long-term care insurance invoices with supporting documentation (care notes, timesheets) and assist clients with claim submission
• Research, correct and resubmit rejected or denied claims; file appeals when appropriate

Payments and Collections

• Post payments, reconcile remittances and deposits, and maintain up-to-date client account balances
• Collect and reconcile client co-pays, share-of-cost and private-pay deposits
• Process credit card/ACH payments and set up recurring autopay for private-pay clients
• Track aging receivables, follow up on past-due accounts and manage a consistent collections process
• Recommend write-offs or bad-debt adjustments with supporting documentation

Authorizations and Account Setup

• Verify payer eligibility, benefit limits and authorized units before services begin
• Set up new client accounts, payer authorizations and billing rates in WellSky; monitor authorization expirations and coordinate renewals
• Maintain the rate table by payer and service type and apply annual rate changes
• Track payer contract renewal dates and required credentialing documents

Client Communication

• Serve as the primary contact for clients, families and payer representatives on billing inquiries, statements and payment arrangements
• Liaise with Scheduling, Payroll and Client Services to resolve discrepancies

Reporting and Compliance

• Produce weekly and monthly A/R aging, cash receipts, collections and revenue-by-payer reports for management
• Support month-end close by reconciling A/R to the general ledger
• Pull billing backup for payer audits and Regional Center reviews
• Maintain organized, confidential billing records in line with HIPAA and company policy
• Support other administrative functions as assigned

Skills and Qualifications

• 1–2 years of experience in accounts receivable, medical billing or a similar role; home care, home health or hospice billing strongly preferred
• Experience with WellSky (or a comparable home care billing/EVV platform) is a strong plus
• Familiarity with institutional billing for insurance, VA, Regional Center or Medi-Cal and their payer portals preferred
• Strong proficiency in MS Office, especially Excel
• Excellent written and verbal communication skills with a professional, empathetic approach to client conversations
• High attention to detail and accuracy with numbers
• Strong organizational and time-management skills; able to meet recurring deadlines
• Ability to handle sensitive financial and health information with confidentiality
• Associate degree in Accounting, Business or a related field, or equivalent experience, preferred

Job Type: Full-time

Pay: $22.00 - $30.00 per hour

Benefits:

• Health insurance
• Health savings account
• Paid sick time
• Paid time off

Application Question(s):

• What is your expected salary? (Application without this answer will not be considered)
• What is the zip code of your current residence?

Language:

• Spanish (Preferred)

Ability to Commute:

• Westminster, CA 92683 (Required)

Work Location: In person

Salary : $22 - $30