Home Healthcare Agency Biller

Role Description: The Home Healthcare Agency Biller is a full-time, on-site role based in the Chicago, Houston and San Diego Metropolitan Area. This role is responsible for preparing, validating, and submitting clean claims for home health services to multiple payers, ensuring accuracy and adherence to payer rules and regulatory requirements. Day-to-day tasks include reviewing clinical documentation for billing readiness, performing claims scrubbing, resolving rejections, and proactively managing denials through follow-up, appeals, and corrective actions. The biller will verify patient eligibility and benefits, support payer enrollment and credentialing updates, and maintain detailed records of claim status, payments, and outstanding balances. The role also involves collaborating with agency staff to clarify documentation or coding issues, using billing and reporting tools to monitor revenue cycle performance, and contributing to process improvements that reduce errors and accelerate cash flow.

Qualifications: Experience in home health or healthcare billing, including claim submission, claims scrubbing, and denial management. Knowledge of payer policies, medical billing regulations, and compliance requirements relevant to home health agencies. Proficiency with billing software, electronic health record (EHR) systems, and basic data/reporting tools. Strong attention to detail, organizational skills, and ability to manage multiple claims and deadlines simultaneously. Effective written and verbal communication skills, with the ability to collaborate with clinical and administrative teams. Problem-solving mindset and willingness to research payer issues, resolve discrepancies, and recommend process improvements. High level of integrity and commitment to protecting patient confidentiality and sensitive financial information.

Preferred: Prior home health billing experience, knowledge of Medicare and Medicaid guidelines, and familiarity with payer enrollment and credentialing. Preferred education: Associate’s or Bachelor’s degree in Business, Healthcare Administration, or related field, or equivalent work experience.