Medical Billing Specialist - Home Health

We are seeking an experienced Home Health Medical Billing Specialist to support Medicaid, VA, and Private Pay revenue cycle operations. This role focuses on EVV-based billing, claims management, accounts receivable, and denial resolution in a fast-paced home care environment.

The ideal candidate has strong experience in medical billing, Medicaid claims, and Revenue Cycle Management (RCM), preferably in home health or community-based care.

Overview

The Medical Billing Specialist is responsible for managing the full home health revenue cycle, including EVV-verified visit billing, Medicaid and VA claims submission, payment posting, denial resolution, and AR follow-up.

This role requires strong attention to detail, knowledge of home care billing workflows, and the ability to manage multiple payer systems in a fast-paced environment.

Key Responsibilities

• Submit and manage claims for home health services (Medicaid, VA, Private Pay)
• Process EVV-verified visit data for accurate billing
• Monitor claims and resolve denials, rejections, and underpayments
• Manage accounts receivable (AR) follow-up and collections
• Post payments and reconcile billing accounts
• Verify authorizations prior to billing
• Collaborate with scheduling, clinical, and operations teams to resolve billing discrepancies
• Maintain accurate billing documentation for audit readiness
• Assist with month-end reporting and revenue cycle audits
• Ensure compliance with Medicaid waiver, VA, and payer regulations

Qualifications

• 2+ years of medical or healthcare billing experience
• Strong understanding of Revenue Cycle Management (RCM)
• Experience with claims submission, AR follow-up, and payment posting
• Knowledge of Medicaid billing requirements
• Proficiency in Microsoft Excel
• Strong attention to detail, accuracy, and organization
• Must live in Albuquerque or surrounding areas

Preferred

• Experience with home health or home care billing
• Familiarity with EVV (Electronic Visit Verification) systems
• Experience with HCBS or Medicaid waiver programs
• Experience with VA home care billing
• Background in home health, personal care services (PCS), or community-based care
• Experience with home health billing software or EHR/EMR systems

Benefits

• Competitive wages and benefits packages.

• Opportunities for professional development and career advancement.

• Supportive and collaborative work environment.

Why Join Us?

At Heritage Home Healthcare, we are committed to delivering compassionate, personalized care that helps individuals maintain independence and dignity in their own homes. Our team is supported through ongoing training, collaboration, and a shared commitment to meaningful work.

We value our employees and recognize the vital role they play in our mission. Join a team where your work makes a real impact every day.

Apply Now!