Medical Biller (Home Health Specialist)

Medical Biller (Home Health Specialist)

Pay Range: $58,000 – $67,000 per year

Job Type: Full-time | Monday – Friday

Software Proficiency Required: Axxess (CareCare) & OASIS Documentation

Role Overview

We are seeking a detail-oriented Medical Biller with specialized expertise in Home Health Revenue Cycle Management. The ideal candidate will have a deep understanding of the OASIS documentation lifecycle and be a power user of the Axxess platform. You will be responsible for ensuring that all clinical visits are accurately coded, documented, and billed to Medicare, Medicaid, and private insurance providers to minimize denials and optimize the AR cycle.

Key Responsibilities

• OASIS Review & Submission: Review and process OASIS Start of Care (SOC), Recertification, and Discharge documentation to ensure clinical accuracy and regulatory compliance.

• Claims Management: Prepare, review, and submit electronic claims via the Axxess platform to Medicare and Managed Care payers.

• Revenue Cycle Optimization: Manage the "Plan of Care" corrections and ensure all physician orders are signed and present before billing submission.

• Denial & AR Management: Identify and resolve billing discrepancies, manage denials, and maintain an aggressive AR cycle.

• Compliance Oversight: Maintain current knowledge of Medicare, Federal, and Insurance company guidelines, specifically regarding Joint Commission standards.

• Collaboration: Partner with Clinical Managers and nursing staff to clarify documentation and ensure clinical services match the billed care plans.

Full Benefits Package

We believe in taking care of the people who take care of our business. Our comprehensive benefits package includes:

• Health & Wellness: Premium Medical, Dental, and Vision insurance plans with multiple coverage options.

• Financial Security: 401(k) retirement savings plan with a generous company match to help you build your future.

• Work-Life Balance: * Generous Paid Time Off (PTO) accrual starting from day one.

  • Paid Company Holidays to ensure time with family and friends.

• Professional Support: Ongoing training and stipends for relevant industry certifications (e.g., Billing or Coding certifications).

• Life & Disability: Company-paid Life Insurance and Short-Term/Long-Term Disability coverage.

Qualifications & Skills

• Experience: Minimum of 3–5 years of Medical Billing experience specifically within a Home Health Agency environment.

• Software Expertise: Mastery of Axxess (CareCare/Axxess Care) is mandatory; familiarity with Homecare Homebase, WellSky, or Epic is a major plus.

• Technical Knowledge: Strong understanding of ICD-10 coding, HCPCS, and specific billing requirements for OASIS-based reimbursement.

• Detail-Oriented: Ability to perform meticulous Quality Assurance (QA) on clinical notes and physician orders.

• Communication: Exceptional ability to communicate with interdisciplinary teams and insurance representatives to resolve complex billing issues.

Apply Today

Take the next step in your healthcare finance career and join a team that values expertise, integrity, and long-term professional relationships.

To apply or for immediate consideration, please contact: Brian Harris Email: Brian@prosperityplacement.com

Phone: 941-999-4291