Position Overview:

The Biller/Collections Coordinator is responsible for managing collections, accounts receivable (AR) follow-ups, insurance authorizations, and other assigned billing-related duties. This position ensures timely collection of outstanding balances and works closely with payers, internal teams, and patients to resolve any reimbursement issues. This role does not involve filing claims, as claims are submitted by HomeHealthMD and HospiceMD EMR personnel.

Job Responsibilities

• Contacts insurance companies, Medicare, Medicaid, and patients regarding unpaid balances using the aging report and other google products to work on aging and comment updated status.
• Assists with QA/Compliance/Billing workflows
• Resolves denied or delayed payments by working with payers and internal teams, including HHMD and HMD teams
• Documents all collection efforts and maintains detailed records of payment resolutions o the RA Report section of HHMD and HMD
• Obtains and tracks insurance authorizations for home health and hospice services.
• Ensures proper documentation is submitted for authorization approvals.
• Communicates with insurance providers and internal staff regarding authorization requirements.
• Reviews AR reports and coordinates with billers to address unpaid claims.
• Assists in resolving billing discrepancies or issues flagged by payers
• Supports responses to audits or payer requests for additional documentation.
• Collaborates with intake, clinical, and administrative teams to streamline reimbursement processes.
• Maintains compliance with Medicare, Medicaid, and private insurance guidelines.
• Performs additional duties as assigned by management.

 The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. 

Minimum Qualifications:

1. Experience in home health or hospice billing/collections preferred.
2. Knowledge of Medicare, Medicaid, and private insurance reimbursement policies.
3. Strong understanding of authorizations, AR follow-up, and collections processes.
4. Familiarity with HomeHealthMD and HospiceMD EMR systems is a plus.
5. Complies with accepted professional standards and practices.
6. Demonstrates strong verbal and written communication skills.
7. Ability to work independently, prioritize tasks, and meet deadlines.
8. At Least one year of previous health care related billing related experience, preferably in home health care billing.
   

Physical Demands and Working Environment

The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Environment: Standard office setting; tasks are regularly performed without exposure to adverse environmental conditions; frequent interaction with staff and the general public. The role requires that you wear a headset, access and work within multiple systems while addressing callers’ concerns in real time.

Physical: Incumbents require sufficient mobility to work in an office setting; stand or sit for prolonged periods of time; operate office equipment including use of a computer keyboard; light lifting, carrying, pushing and pulling; ability to verbally communicate to exchange information.

Vision: See in the normal visual range with or without correction; vision sufficient to read computer screens and printed documents; and to operate assigned equipment.

Hearing: Hear in the normal audio range with or without correction.