Medical Biller / Claims Specialist (In-Home Care)

Role Type: Full-Time, Work From Home
Industry: Healthcare / Medical Billing
Core Focus: Managing the complete revenue cycle, manually submitting high-volume healthcare claims through provider portals, and handling claims reconciliation for an in-home care division.

Key Responsibilities

Claims Operations: Review, validate, and manually submit individual healthcare claims via designated provider portals.

Reconciliation & Auditing: Cross-reference caregiver visit records, hours, and authorized services against billing data to catch errors early.

Denial Management: Investigate rejected or denied claims, correct data discrepancies, and manage resubmissions.

System Management: Maintain accurate digital records utilizing tools like AxisCare and Avionté.

Administrative Support: Assist with back-office functions, including entering employee timekeeping and direct deposit details into Avionté.

Key Requirements & Qualifications

Experience: MINIMUM of 2–3 years of hands-on experience in medical billing, revenue cycle management, or claims processing.

Program Knowledge: Familiarity with Medicare, Medicaid/Medi-Cal, Managed Care, or PACE programs.

Technical Skills: Strong proficiency in Microsoft Excel, high-volume data entry, and navigating online provider portals.

Preferred Background: Experience with CPT/HCPCS codes, CMS guidelines, and home care software (AxisCare or Avionté).

Application Instructions

Submit an updated resume to us at ---------- subject line: Medical Billing

Do not send a link to your resume, we need the actual resume email ed to us in word or pdf format

Specify the work history’s timeline (month and date) explaining gaps in employment if more than 3 months
Include the availability for us to screen you (date and time, Pacific Standard Time)

We will only reply to qualified candidates.