Third Party Billing Specialist- Home Health

Description

BHI Senior Living operates Life Plan Communities that combine vibrant lifestyles with comprehensive care and long-term security for residents. We're committed to excellence, compassion, and innovation - and we're looking for team members who want to build rewarding careers while positively impacting the lives of older adults. Our faith-based values guide us in every decision we make and have resulted in over 50 years of providing exceptional care for seniors. As one of the most well-respected and well-funded non-profit organizations in the Midwest, BHI Senior Living offers ten Life Plan Communities and two Active Adult Communities in Indiana, Michigan, and Ohio.

As a Home Health Billing Specialist, your role goes beyond processing claims and posting payments-you'll help support the financial strength of Care Plus Home Health through accuracy, compliance, and timely follow-up. From managing billing across multiple payors to resolving claim issues and monitoring accounts receivable, you'll play a key role in maximizing reimbursement and strengthening revenue cycle performance. Your expertise and collaboration with clinical, intake, and operational teams will help ensure our billing processes run smoothly so we can continue delivering exceptional care to those we serve.

As a BHI Senior Living Community, the staff are united in mission, we lead with compassion and provide opportunities to grow and thrive professionally.

Why You'll Love Working Here:

Hourly wage starting at $25.00 , based on qualifications and experience

• Robust benefits including 401k match (up to 5%), medical, dental and vision insurance
• Employer-paid life insurance
• PTO (paid time off) earned from day one of employment
• Paid holidays
• Access to Employee Assistance Program (EAP)
• Student loan repayment and tuition assistance

In This Role You Will:

• Maintain current knowledge of home health billing regulations, reimbursement methodologies, and payor-specific requirements for Medicare, Medicare Advantage Plans, Commercial Insurance, Medicaid, and Private Pay.

• Prepare, review, and submit accurate claims for all assigned payor sources in accordance with billing guidelines and filing deadlines.

• Monitor claim status and promptly address claim rejections, denials, and payment variances.

• Perform timely follow-up on outstanding accounts receivable to ensure maximum reimbursement and reduce aging balances.

• Post payments, adjustments, refunds, and recoupments accurately within the electronic medical record and billing systems.

• Reconcile billing activity and payments to ensure accuracy of patient accounts and revenue reporting.

• Review insurance verifications and authorizations to ensure claims are billed appropriately.

• Collaborate with intake, clinical, scheduling, and operations staff to resolve billing discrepancies and obtain required documentation.

• Respond to billing inquiries from patients, families, insurance carriers, and other stakeholders in a professional and timely manner.

• Identify trends related to denials, underpayments, and reimbursement issues and communicate findings to leadership.

• Assist with month-end billing processes, accounts receivable reviews, and revenue cycle reporting.

• Maintain accurate and organized billing records in accordance with company policies and regulatory requirements.

• Participate in audits and compliance reviews related to billing and reimbursement activities.

• Protect patient confidentiality and comply with HIPAA regulations and company privacy policies.

• Assist with special projects, process improvements, and other revenue cycle initiatives as assigned.

Who You Are

• High School Diploma or GED equivalent
• Work related experience in general bookkeeping/accounting functions

Preferred: Minimum of 3 years experience in home health billing

BHI Senior Living is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.