Home Health Billing and Accounts Receivable Specialist

RCM Staff LLC

. Verify Medicaid eligibility, payer assignment, authorizations, service codes, and approved units .

Posted 11/1/2026full-timeRemote • PhilippinesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicaid billing processes, including eligibility verification, claims submission, and denial management. Proficient in using Availity and Excel for tracking and reporting on accounts receivable and billing discrepancies.

Highest-signal resume keywords

Medicaid Billing ExperienceAvaility ProficiencyDenial ManagementA/R Follow-UpExcel Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medicaid Eligibility VerificationClaims SubmissionClaim Rejection CorrectionDenial InvestigationA/R ReconciliationBilling ReconciliationTimely Filing TrackingPayment Dispute ResolutionReport PreparationEVV Visit Reconciliation

Soft Skills

Attention to DetailFollow-Up SkillsIndependent WorkCommunication Skills

Tools & Technologies

AvailityExcelGoogle SheetsHHAeXchangeAxisCareCareSmartz360CareTimeAxxess

Industry Keywords

Home Health BillingMedicaid Managed Care PlansCommercial InsuranceGovernment Health PlansIllinois MedicaidHCBS Waiver Services

About the role

Key responsibilities & impact

Verify Medicaid eligibility, payer assignment, authorizations, service codes, and approved units
Submit clean claims to Medicaid managed care plans and commercial payers
Correct claim rejections and submit corrected claims
Use Availity daily for eligibility, claim status, remittances, denials, and payer inquiries
Investigate and resolve denials and underpayments, including appeals and payment disputes
Follow up on unpaid and aged A/R by payer portal and phone
Track timely filing deadlines
Post and reconcile ERAs and EOBs against expected reimbursement
Reconcile visits, authorized units, and billed units to identify unbilled or incorrectly billed services
Prepare A/R aging, denial, and collections reports in Excel or Google Sheets
Document account activity and escalate payer issues to the team lead
Protect patient information and follow HIPAA requirements
Manage multiple agency accounts for home care clients

Requirements

What you’ll need

At least 2 years of U.S. home health billing experience
Strong, hands-on Availity experience, including claim status, remittances, and denials
Experience billing Medicaid managed care plans (MCOs)
Proven experience in denial management and A/R follow-up
Familiarity with commercial insurance and government health plans
Strong Excel or Google Sheets skills
Strong written and spoken English, including payer calls and written disputes
Excellent attention to detail and follow-up skills
Ability to work independently and manage multiple agency accounts
Reliable internet connection and a suitable remote workspace
Must be available during Central Time business hours
Preferred: Experience billing nonmedical home care, personal care, or HCBS waiver services
Preferred: Familiarity with Illinois Medicaid and Illinois Medicaid MCOs such as Aetna Better Health, Blue Cross Community Health Plans, Molina, Meridian, or CountyCare
Preferred: Experience using HHAeXchange, AxisCare, CareSmartz360, CareTime, or Axxess
Preferred: Experience with EVV visit reconciliation and authorization tracking

Benefits

Comp & perks

Remote work arrangement
Full-time employment
Opportunity to support a revenue cycle company serving home care agencies
Philippines-based applicants preferred