What are the responsibilities and job description for the Billing Specialist – Home Care Agency position at Vital Home Care?
About Us
We are a growing, client-centered home care agency committed to delivering high-quality services while maintaining full compliance with Indiana Medicaid, EVV, and state regulations. We are seeking an experienced, detail-oriented Billing Specialist to manage all aspects of home care billing and ensure accurate, timely reimbursement.
Position Summary
The Billing Specialist will oversee end-to-end billing operations, including EVV validation, Medicaid and private pay billing, claim submission, payment posting, reconciliations, appeals, and issue resolution. This role is essential to maintaining healthy cash flow, regulatory compliance, and operational excellence.
Key Responsibilities
- Review, validate, and reconcile EVV data to ensure compliance prior to billing
- Prepare and submit claims to Indiana Medicaid, waiver programs, MCOs, and private pay sources
- Ensure all billed services are supported by authorizations, care plans, and EVV records
- Monitor claim status and follow up on rejections, denials, and unpaid claims
- Correct billing errors and resubmit claims as necessary
- Post payments, adjustments, and remittances accurately
- Reconcile billing records with EVV systems
- Communicate with Medicaid, payers, clearinghouses, and internal staff regarding billing issues
- Maintain compliance with Indiana FSSA, Medicaid waiver requirements, and EVV regulations
- Generate billing, aging, and revenue reports for management
- Maintain strict confidentiality and full HIPAA compliance
Qualifications
- Minimum of 1 year of home care or healthcare billing experience (Indiana Medicaid experience strongly preferred)
- Hands-on experience with EVV systems (e.g., AxisCare, Sandata, or similar)
- Strong knowledge of Indiana Medicaid waiver programs and home care billing requirements
- Understanding of authorizations, service units, modifiers, and compliance standards
- High attention to detail with strong analytical and problem-solving skills
- Excellent organizational, communication, and follow-up abilities
- Proficiency with billing software, EHR systems, and Microsoft Office
What We Offer
- Competitive compensation based on experience
- Stable and supportive work environment
- Opportunity to grow with an expanding home care agency
How to Apply
Qualified candidates should submit a resume highlighting their home care and EVV billing experience.
Salary & Benefits Notice:
Salary and benefits will be discussed in detail during the interview process. Final compensation and benefits will be determined based on the candidate’s experience, qualifications, and role alignment.
Job Type: Full-time
Pay: From $123,456.00 per year
Work Location: In person
Salary : $123,456