US Medical Billing Specialist jobs in United States
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Abby Care · 3 months ago

US Medical Billing Specialist

Abby Care is a company dedicated to supporting family caregivers by providing a tech-powered, family-first care platform. They are seeking a Medical Billing Specialist to manage the billing and claims process for home health services, ensuring compliance and effective communication with insurance companies and patients.

Child CareHealth CareHome Health Care
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H1B Sponsor Likelynote

Responsibilities

Prepare, review, and submit accurate claims to insurance companies
Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered
Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care
Use billing software to process and track claims
Monitor claim status and follow up on unpaid or denied claims promptly
Investigate and resolve claim discrepancies, denials, and appeals
Generate reports for outstanding accounts receivable and payment trends
Ensure all billing practices comply with federal, state, and local regulations
Verify patient insurance information, eligibility, and prior authorization requirements
Maintain accurate records of billing activities and patient accounts
Collaborate with office staff, and payers to address billing and reimbursement issues
Provide clear communication to patients regarding their billing, payments, and financial responsibilities
Respond to inquiries from payers, patients, and colleagues in a professional and timely manner

Qualification

Medical billing certificationHome health billing codesElectronic health records (EHR)Medicare billing guidelinesClaims submission platformsAttention to detailProblem-solving skillsOrganizational skillsWritten communicationVerbal communication

Required

High school diploma or equivalent
1-3 years of experience in medical billing, preferably in a home health care setting
Strong knowledge of home health billing codes, insurance guidelines, and reimbursement processes
Proficiency with electronic health records (EHR) and billing software
Attention to detail and accuracy in data entry and documentation
Excellent problem-solving and organizational skills
Strong written and verbal communication skills
Familiarity with Medicare and Medicaid billing guidelines specific to home health
Experience with claim submission platforms such as Medicare DDE and clearinghouses
Knowledge of HIPAA regulations to ensure patient confidentiality

Preferred

associate's or bachelor's degree in a related field
Certification in medical billing and coding (e.g., CPC, CHBME)

Benefits

Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.
Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability.
Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
Team bonding. We love bringing our teams together. As a full-time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat.
Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

Company

Abby Care

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Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving.

H1B Sponsorship

Abby Care has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (1)
2023 (1)

Funding

Current Stage
Growth Stage
Company data provided by crunchbase