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Billing Specialist
HHAeXchange. Generate and submit claims to insurance companies, government programs, and other payers for services provided to patients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue cycle management (RCM) within the homecare industry, focusing on claims generation, payment reconciliation, and compliance with healthcare regulations. Strong communication and problem-solving skills are essential for collaborating with payers and resolving billing discrepancies.
Highest-signal resume keywords
Revenue Cycle Management (RCM)Claims GenerationPayment ReconciliationHealthcare ComplianceMS Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionPayment PostingBilling Discrepancy ResolutionAccounts Receivable ReconciliationKPI Reporting
Soft Skills
Excellent Communication SkillsCritical ThinkingProblem-SolvingSelf-StarterTeam Player
Tools & Technologies
Agency Management SoftwareMS Teams
Industry Keywords
Homecare IndustryHealthcare Information ExchangeInsurance ClaimsPayer CollaborationBilling Metrics
About the role
Key responsibilities & impact- Generate and submit claims to insurance companies, government programs, and other payers for services provided to patients
- Utilize agency management software to accomplish billing tasks efficiently
- Record and post payments received from insurance companies, patients and other sources to appropriate patient accounts
- Monitor and follow up on unpaid claims, rejections/denials, and outstanding balances to ensure timely collections
- Research and resolve billing discrepancies or denials
- Collaborate with payers to address claim disputes
- Understand processes and requirements for exchanging healthcare information with Home Health Agencies, including compliance with regulations and standards
- Reconcile accounts receivable records with payments received
- Collaborate with departments and agencies to resolve billing and payment issues and improve processes
- Generate reports on billing and accounts receivable performance, including metrics and KPIs
- Communicate effectively with team members and management
- Obtain and maintain an understanding of customers’ objectives and goals
- Perform other duties as assigned by supervisor or HHAeXchange leader
Requirements
What you’ll need- High school diploma required
- Associate’s or Bachelor’s degree in healthcare administration, finance, or related field preferred
- A minimum of 3+ years of RCM experience in the homecare industry preferred
- Proficient in MS Office and MS Teams
- Strategic and creative mindset
- Excellent written and oral communication skills
- Critical thinker and problem-solver
- Self-starter and team player
- Ability to perform each essential job duty satisfactorily with or without reasonable accommodations
- Travel up to 10%, including overnight travel
Benefits
Comp & perks- Health plans
- Paid time off
- Company paid holidays
- 401K retirement program with a Company elected match
- Other company sponsored programs