Home Health Biller

Description

Jet Health Inc. is hiring a Biller to be responsible for the accurate and timely billing of home health, hospice and personal care services, ensuring compliance with federal, state, and payer-specific regulations across these divisions. This role works closely with clinical, intake, and administrative teams to ensure proper documentation, claim submission, and reimbursement.

Requirements

Key Responsibilities

• Prepare, review, and submit claims for home health, hospice, and personal care services to Medicare, Medicaid, and commercial insurance payers
• Ensure billing accuracy and compliance with home health, hospice, and personal care regulations, including Medicare guidelines (PDGM)
• Verify patient eligibility, insurance coverage, and authorization requirements
• Monitor and follow up on outstanding claims, denials, and rejections to ensure timely reimbursement
• Investigate and resolve billing discrepancies and payer issues
• Post payments, adjustments, and denials accurately in the billing system
• Communicate with payers regarding claim status, audits, and appeals
• Collaborate with clinical and intake teams to obtain necessary documentation for billing
• Maintain up-to-date knowledge of coding, billing regulations, and reimbursement changes
• Assist with audits and compliance reviews as needed

Qualifications

• High school diploma or equivalent required
• Minimum of 2+ years of medical billing experience, preferably in home health, hospice, and/or personal care
• Strong knowledge of Medicare billing guidelines, PDGM, and insurance reimbursement processes
• Experience with EMR/billing systems (e.g., Homecare Homebase, or similar)
• Knowledge of ICD-10 coding and medical terminology
• Proficient in Microsoft Office, particularly Excel
• Strong attention to detail and problem-solving skills
• Excellent communication and organizational abilities

Preferred Qualifications

• Certified Professional Biller (CPB) or similar certification
• Experience working with home health billing audits and appeals
• Familiarity with EVV (Electronic Visit Verification) requirements

Work Environment

• Typically, office-based or remote depending on company policy
• Fast-paced environment with productivity and accuracy expectations

Key Competencies

• Attention to Detail
• Analytical Thinking
• Time Management
• Compliance Focus
• Customer Service Orientation

Why Join Us

• Opportunity to make an impact in patient care behind the scenes
• Collaborative team environment
• Competitive compensation and benefits
• Growth and development opportunities
• Medical, Dental, Vision insurance
• Short-Term & Long-Term Disability
• Accident, Critical Illness & Cancer Insurance
• 401(k) savings plan
• Company-paid Life Insurance
• 80 hours PTO at 60 days
• 6 paid holidays + 1 floating holiday