Billing Specialist – Home Care

Description

Reliable Home Care Providers, Inc. is seeking a detail-oriented and organized Billing Specialist to support our Home Service department. The ideal candidate will be responsible for billing and claims processing for non-medical home care services, including Medicaid, insurance, and the Illinois Department on Aging (IDoA) programs. This position ensures accurate billing, timely claim submission, proper documentation, and follow-up on outstanding payments.

Key Responsibilities

• •Prepare, review, and submit billing claims for non-medical home care services provided by caregivers.
• •Process billing for Medicaid, insurance, and Illinois Department on Aging (IDoA) programs.
• •Verify client eligibility, payer coverage, service authorizations, and approved service hours.
• •Ensure billed hours match authorized services and documented caregiver hours.
• •Follow applicable IDoA program requirements, payer guidelines, and billing procedures.
• •Monitor claim status and follow up on pending, rejected, and denied claims.
• •Investigate billing discrepancies, correct errors, and resubmit claims as needed.
• •Track accounts receivable and follow up on outstanding payments.
• •Reconcile payments and identify discrepancies between submitted claims and received reimbursements.
• •Maintain accurate billing records, client information, authorization details, and supporting documentation.
• •Ensure compliance with payer requirements, agency policies, and applicable regulations.
• •Maintain confidentiality of client information in accordance with HIPAA requirements.
• •Perform other related billing and administrative duties as assigned.

We offer a competitive benefits package, including:

• •100% employer-paid major medical insurance
• •Dental insurance
• •Vision insurance
• •401(k) retirement plan
• •Paid time off
• •Paid sick leave
• •Bi-weekly pay

Requirements

• •Previous experience in home care billing, or healthcare claims processing preferred.
• •Experience with IDoA billing, Medicaid, and insurance strongly preferred.
• •Knowledge of non-medical home care services, service authorizations, and billing systems.
• •Strong attention to detail and accuracy when reviewing billing records.
• •Proficiency in Microsoft Office and electronic billing systems.
• •Excellent organizational, communication, and problem-solving skills.
• •Ability to manage multiple tasks, meet deadlines, and work independently.
• •Ability to collaborate effectively with administrative staff, care coordinators, and external payer representatives.