Billing Specialist
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Overview
Job Description
- Prepare, review, and submit electronic and paper claims for home health services.
- Process billing for Medicare, Medicaid (Texas Medicaid), and commercial insurers.
- Verify patient insurance coverage and eligibility.
- Resolve claim rejections, denials, and underpayments.
- Follow up on outstanding accounts receivable and ensure timely collections.
- Maintain accurate billing records and documentation.
- Work closely with clinical and administrative staff to ensure billing accuracy.
- Stay up to date with federal and Texas state regulations for home health billing.
- Generate billing reports and assist with audits as needed.
- High school diploma or equivalent required; Associate degree preferred.
- Minimum 1–3 years of medical billing experience, preferably in home health care.
- Strong knowledge of Medicare and Texas Medicaid billing rules.
- Familiarity with OASIS, EVV (Electronic Visit Verification), and home health software systems is highly preferred.
- Experience with ICD-10, CPT, and HCPCS coding.
- Excellent attention to detail and organizational skills.
- Strong problem-solving and communication skills.
- Proficiency in billing software, AXXESS EMR and Microsoft Office (Excel, Word).
- Certified Billing and Coding Specialist (CBCS) or similar certification.
- Experience working in a Texas-based home health agency.
- Knowledge of PDGM (Patient-Driven Groupings Model).
- Competitive salary (based on experience).
- Health, dental, vision, and supplementary insurance policies.
- Paid time off and holidays.
- 401(k) with company match.
- Opportunities for professional growth and development.
Home Nursing & Therapy Services (HNTS) is a locally owned home health agency. Since 1982, we have been providing the highest quality home health services to individuals living in San Antonio, Texas and the surrounding areas. We strive to become the highest quality home health agency, by continuing to provide superior home health services. Home Nursing & Therapy Services (HNTS) is here to address every aspect of our patients needs with compassionate care and reliable service 24/7.A major benefit of Home Nursing & Therapy (HNTS) is that our patients are able to receive personalize healthcare while still being in the privacy and comfort of their homes. It has been observed that individuals who are ill, recovering from an injury or surgery, recuperate at a much faster pace while receiving personalized home care. Our Primary goal is to deliver “Comfort” and “Peace of Mind” to our patients and their families during their time of need.
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
