Billing Coordinator for Home Care

The Billing Coordinator plays a critical role in ensuring accurate, timely billing and reimbursement across multiple states. This position is responsible for managing prebilling processes, maintaining authorization accuracy, researching denied claims, and supporting payroll related billing workflows. The Billing Coordinator ensures services delivered are supported by proper authorizations, plans of care, and compliant documentation, helping maximize reimbursement while reducing administrative delays. This role requires strong attention to detail, comfort working in multiple systems, and the ability to proactively identify and resolve billing holds. The Billing Coordinator will work closely with the intake, clinical and scheduling teams to ensure services are authorized, documented, and billed accurately.

What You’ll Do

Prebilling review
Clear all issues related to authorizations, plan of care, and miscellaneous billing holds prior to claims submission
Ensure visits are linked appropriately to authorizations and plans of care
Monitor caregiver compliance with scheduled visits and report any deviations
Support resolution of visit time adjustments and provide backup support to office team as needed

Authorization management
Monitor incoming authorizations and ensure accurate entry into the EMR system
Maintain up to date authorization records across assigned states
Monitor the expiration dates on authorizations as assigned
Rotate state assignments periodically to maintain familiarity across all programs

Billing and payroll coordination
Review services for billing readiness and accuracy
Support billing and payroll processes to ensure alignment between authorized services and billed hours

Aging and accounts receivable
Research denied claims and correct claim issues and resubmit claims in a timely manner
Monitor aging reports and follow up on outstanding balances

Other responsibilities
Maintain accurate employee records in state aggregators
Work collaboratively with Senior Operations Coordinator, VP of Operations and the rest of the office team(s)
Send outgoing faxes to provider offices when and as requested
Help to answer incoming calls to the office
Assist in any other tasks and responsibilities as assigned by the Senior Operations Coordinator or VP of Operations

Requirements

• High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, Business Administration, Accounting, or related field preferred
• Minimum 2 years’ experience in medical billing, healthcare revenue cycle, or related administrative healthcare role
• Familiarity with the electronic health records (EHR) systems
• Strong organizational and multitasking abilities
• Strong communication skills with ability to collaborate across departments
• Experience working with Medicaid, VA, insurance, or managed care billing strongly preferred
• Proficient in Microsoft Office Suite
• Experience working in home care, home health, waiver programs, or long-term care a plus
• Ability to adapt to a dynamic and fast-paced start-up environment
• Familiarity with CPT codes, billing codes, and payer requirements

Benefits

• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (401k)
• Paid Time Off
• Mileage Reimbursement
• Flexible Scheduling