The Full Cycle Biller is responsible for managing the end-to-end billing process for Home Health, Hospice, and Skilled Nursing Facility (SNF) claims – from claim preparation and submission through accounts receivable (AR) follow-up and cash posting. This is a true full cycle role: candidates must bring solid, well-rounded billing and AR experience, with cash posting representing a significant, heavy-emphasis component of the day-to-day work. Hands-on experience with the Vision billing system is required.

The Biller partners closely with intake, coding, collections, and cash application teams to ensure claims are submitted cleanly, AR is worked proactively, payments are posted accurately and timely, and discrepancies are researched and resolved. This individual is accountable for maintaining productivity and quality standards while supporting timely cash flow for the organization.

This is a fully remote opportunity for an experienced post-acute biller who is comfortable owning the full billing, AR, and cash posting cycle independently.

Duties and Responsibilities

Billing & Claims Management

• Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders.
• Manages full-cycle billing for Home Health, Hospice, and SNF claims, including claim generation, scrubbing, submission, and follow-up.
• Prepares and submits claims via the Vision system, ensuring accuracy of billing data, revenue codes, HCPCS/CPT codes, and modifiers specific to post-acute billing.
• Monitors claim status, identifies and resolves rejections and denials, and resubmits corrected claims as needed.
• Works claim edits, RTP (Return to Provider), and ADR (Additional Documentation Request) queues in a timely manner.

Accounts Receivable (AR) Follow-Up

• Proactively works AR aging to identify unpaid, underpaid, and pending claims requiring follow-up.
• Contacts payers via phone, portal, or written correspondence to resolve outstanding claims and accelerate payment.
• Researches and appeals underpayments and denials in a timely manner, coordinating with coding or clinical teams as needed.
• Documents all AR follow-up activity clearly and consistently to support audit trails and account history.

Cash Posting & Reconciliation

• Posts cash receipts (payments, adjustments, denials) accurately and timely across Medicare, Medicaid, and commercial payers.
• Reconciles daily and weekly cash posting activity against remittance advices (ERA/EOB) and bank deposits.
• Researches and resolves posting discrepancies, unapplied cash, and payment variances.
• Maintains accurate account documentation to support downstream collections and reporting.

Post-Acute Payer Compliance

• Applies working knowledge of PDGM (Patient-Driven Groupings Model), hospice election periods and Notices of Election (NOEs), and SNF PPS/consolidated billing requirements.
• Maintains compliance with payer-specific billing guidelines, timely filing deadlines, and applicable regulatory requirements (CMS, state Medicaid).
• Stays current on payer policy and regulatory updates affecting home health, hospice, and SNF billing.

Cross-Functional Collaboration

• Collaborates with intake, coding, and collections teams to resolve billing holds and documentation gaps.
• Serves as a point of contact for billing- and cash-posting-related questions from internal stakeholders.
• Documents account activity clearly and consistently in the billing/EHR system.
• Meets productivity and quality standards established by the client/account.
• Performs other duties as assigned.

Qualifications

Required

• Minimum 2+ years of full cycle billing and accounts receivable (AR) experience in Home Health, Hospice, and/or SNF settings – candidates must be comfortable owning both billing and AR follow-up, not just one piece of the cycle.
• Direct, hands-on experience with the Vision billing system (required).
• Solid, hands-on cash posting experience – this is a heavy-emphasis part of the role and includes both manual and electronic (ERA) payment application.
• Working knowledge of Medicare Part A billing, PDGM, hospice NOE/election periods, and SNF consolidated billing rules.
• Familiarity with UB-04 claim forms and revenue cycle workflows for post-acute care.
• Strong understanding of payer remittance (ERA/EOB) interpretation and reconciliation.
• Excellent attention to detail and ability to manage high claim volumes accurately.
• Strong written and verbal communication skills.
• Ability to work independently in a fully remote environment with reliable high-speed internet.

Preferred

• Experience working across multiple payer types (Medicare, Medicaid, Managed Care) in a post-acute setting.
• Prior experience in an outsourced or vendor revenue cycle environment.
• Familiarity with clearinghouse claim submission and denial management processes.

Physical Demands and Work Environment

• Fully remote position; requires a dedicated, private workspace and reliable high-speed internet.
• Prolonged periods of sitting at a desk and working on a computer.
• Ability to communicate clearly by phone and video conference.
• Extended hours may be required during peak billing or month-end close periods.