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Medical Insurance Billing Specialist

At Home Harmony

At Home Harmony offers a full revenue cycle, high-volume medical billing role supporting an integrated care model providing in-home geriatric healthcare.

Key duties include managing the full medical billing lifecycle, submitting and scrubbing electronic and paper claims, following up on unpaid, rejected, and denied claims, preparing appeals, posting payments, managing aging reports, analyzing EOBs, identifying billing trends and revenue leakage, collaborating with clinical teams to resolve documentation gaps, and ensuring compliance with Medicare, Medicaid, and commercial payer guidelines.

This fast-paced billing department requires maintaining productivity and quality metrics in a high-volume environment.

Requirements & Qualifications
  • 5+ years of medical billing experience
  • Proven success in reducing accounts receivable days and increasing clean claim rates
  • Experience in busy, high-volume revenue cycle departments
  • Strong knowledge of CPT, ICD-10, and HCPCS coding
  • Experience managing Medicare, Medicaid, and commercial payer claims
  • Denial management and appeals expertise
  • Ability to interpret payer contracts and reimbursement methodologies
  • Strong analytical and problem-solving skills
  • High attention to detail and follow-through
  • Systems experience: Waystar, athenahealth, Palmetto GBA, Availity, Medicare MAC portals, Medicaid state portals, commercial payer portals, ERA systems
Benefits & Perks
  • 401(k) and matching
  • Dental insurance
  • Employee discount
  • Health insurance and health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Location

Virginia, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

No

Posted

2 weeks ago

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