Role Overview
Aegis Healthcare is seeking an experienced Billing Specialist to support home health and hospice billing operations. This role manages claims and accounts from intake through payment resolution, investigates billing issues, and helps identify process failures that delay claims or cash flow.
Key Responsibilities
- Own home health and hospice billing queues from eligibility and authorization review through final claim, payment, and account closure.
- Prepare, submit, and track Medicare notices such as NOAs, NOEs, and NOTRs when applicable.
- Submit initial, interim, final, corrected, and adjusted claims across assigned payers.
- Verify payer requirements, billing elements, documentation status, and claim attachments.
- Investigate rejections, denials, underpayments, overpayments, eligibility issues, authorization failures, and payment discrepancies.
- Post and reconcile payments, remittances, contractual adjustments, and patient balances.
- Work aging accounts receivable and maintain clear follow-up notes.
- Provide billing leadership with reporting on claims, cash, denials, aging, and recurring issues.
- Partner with intake, clinical, QA, finance, compliance, coding, and IT to resolve billing workflow problems.
Requirements & Qualifications
Qualifications
- At least 3 years of hands-on home health or hospice billing and revenue cycle experience.
- Strong knowledge of Medicare Part A, Medicaid, managed care, commercial payer billing, remittance advice, denials, authorizations, and required notices.
- Demonstrated ability to resolve complex payer issues and identify recurring process failures.
- Experience using claim and aging reports to explain root cause, financial impact, ownership, and corrective action.
- Proficiency with an EHR, clearinghouse or Medicare billing portal, spreadsheets, and HIPAA-protected information handling.
- Strong organization, accuracy, follow-through, and professional communication.
- Careficient experience is a plus.
Benefits & Perks
Benefits
- 22 days of PTO
- Medical, dental, and vision insurance options
- 401(k) with employer matching
- Life, accident, and disability insurance
- Referral bonuses
- Supportive team culture and career longevity
Location
Mesa, Arizona, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago