What are the responsibilities and job description for the Billing Specialist - Home Care position at Reliable Home Care Providers, Inc.?
Description:
Reliable Home Care Providers, Inc. is seeking a detail-oriented and organized Billing Specialist to support our Home Service department. The ideal candidate will be responsible for billing and claims processing for non-medical home care services, including Medicaid, insurance, and the Illinois Department on Aging (IDoA) programs. This position ensures accurate billing, timely claim submission, proper documentation, and follow-up on outstanding payments.
Key Responsibilities- Prepare, review, and submit billing claims for non-medical home care services provided by caregivers.
- Process billing for Medicaid, insurance, and Illinois Department on Aging (IDoA) programs.
- Verify client eligibility, payer coverage, service authorizations, and approved service hours.
- Ensure billed hours match authorized services and documented caregiver hours.
- Follow applicable IDoA program requirements, payer guidelines, and billing procedures.
- Monitor claim status and follow up on pending, rejected, and denied claims.
- Investigate billing discrepancies, correct errors, and resubmit claims as needed.
- Track accounts receivable and follow up on outstanding payments.
- Reconcile payments and identify discrepancies between submitted claims and received reimbursements.
- Maintain accurate billing records, client information, authorization details, and supporting documentation.
- Ensure compliance with payer requirements, agency policies, and applicable regulations.
- Maintain confidentiality of client information in accordance with HIPAA requirements.
- Perform other related billing and administrative duties as assigned.
We offer a competitive benefits package, including:
- 100% employer-paid major medical insurance
- Dental insurance
- Vision insurance
- 401(k) retirement plan
- Paid time off
- Paid sick leave
- Bi-weekly pay
- Previous experience in home care billing, or healthcare claims processing preferred.
- Experience with IDoA billing, Medicaid, and insurance strongly preferred.
- Knowledge of non-medical home care services, service authorizations, and billing systems.
- Strong attention to detail and accuracy when reviewing billing records.
- Proficiency in Microsoft Office and electronic billing systems.
- Excellent organizational, communication, and problem-solving skills.
- Ability to manage multiple tasks, meet deadlines, and work independently.
- Ability to collaborate effectively with administrative staff, care coordinators, and external payer representatives.