Medical Billing Specialist

About Abby Care

Our mission is to redefine care for the most vulnerable. The healthcare system is failing the underserved. It's a struggle to find care to afford care and to receive quality care. We are a company currently in stealth mode that is transforming the healthcare experience for low-income families through purpose-built thoughtful technology. We are led by a founder who grew up on Medicaid (public insurance) and personally knows the desperation of not being able to afford medically-necessary care. Here we believe that anything can be achieved through pure will determination and grit. We value individuals with a similar mindset.

Position Overview: A Medical Biller for Home Health Services is responsible for accurately preparing submitting and following up on claims to insurance companies government payers (e.g. Medicare Medicaid) and patients. This role ensures timely reimbursement for home health services provided compliance with regulations and effective communication with healthcare providers and payers.

Key Responsibilities:

Billing and Claims Submission:

• Prepare review and submit accurate claims to insurance companies.

• Verify and ensure the accuracy of billing codes (CPT HCPCS ICD-10) and modifiers for services rendered.

• Maintain up-to-date knowledge of Medicare Medicaid and private insurance billing requirements specific to home health care.

• Use billing software to process and track claims.

Accounts Receivable Management:

• Monitor claim status and follow up on unpaid or denied claims promptly.

• Investigate and resolve claim discrepancies denials and appeals.

• Generate reports for outstanding accounts receivable and payment trends.

Compliance and Documentation:

• Ensure all billing practices comply with federal state and local regulations.

• Verify patient insurance information eligibility and prior authorization requirements.

• Maintain accurate records of billing activities and patient accounts.

Communication and Coordination:

• Collaborate with office staff and payers to address billing and reimbursement issues.

• Provide clear communication to patients regarding their billing payments and financial responsibilities.

• Respond to inquiries from payers patients and colleagues in a professional and timely manner.

Qualifications:

Education and Experience:

• High school diploma or equivalent (required); associate’s or bachelor’s degree in a related field (preferred).

• Certification in medical billing and coding (e.g. CPC CHBME) is highly desirable.

• 1-3 years of experience in medical billing preferably in a home health care setting.

Skills and Competencies:

• Strong knowledge of home health billing codes insurance guidelines and reimbursement processes.

• Proficiency with electronic health records (EHR) and billing software.

• Attention to detail and accuracy in data entry and documentation.

• Excellent problem-solving and organizational skills.

• Strong written and verbal communication skills.

Technical Requirements:

• Familiarity with Medicare and Medicaid billing guidelines specific to home health.

• Experience with claim submission platforms such as Medicare DDE and clearinghouses.

• Knowledge of HIPAA regulations to ensure patient confidentiality.

Our Value Prop to You

• Environment for growth and learning. You will have the opportunity to drive great impact and gain exposure to all functions of the company.

• Propel innovation in healthcare . We are leading the change against traditional providers with outdated systems. You’ll be able to operate in a fast-paced environment to deliver best-in-class care and iterate.

• An energizing compassionate team. Our team cares deeply about each other. We strive to elevate and uplift each other in our day-to-day work to do the best for our families. We don't believe in bureaucratic nonsense.

• Supporting your well-being. We provide benefits to allow you to do your best work:

  • 15 days of Paid Time Off  (PTO) and 10 company holidays

  • End-of-year performance-based bonus

  • Paid company team bonding events

  • Fully remote role