Apply on Employer Site

Caregiver's Home Solutions · 2 days ago

Billing & Collections Specialist

Shelton, CT

Full-time

Onsite

Mid Level

$20/hr - $23/hr

3+ years exp

Caregiver's Home Solutions is a family-owned homecare agency that has been serving Connecticut’s seniors and families since 2007. The Billing & Collections Specialist will be responsible for ensuring timely and accurate billing across various programs, managing accounts receivable, and collaborating with cross-functional teams to maintain service delivery and billing accuracy.

Elder CareHealth CareHome Health CareWellness

Responsibilities

Manually confirm caregiver shifts as needed in Generations to prepare accurate billing files

Serve as primary biller for non-Medicaid waiver clients across various payer sources, including: Private-pay clients, including those in need of Long-Term Care Insurance claim submission support. DSS clients via their Social Work Services / Protective Services for the Elderly (PSE) programs. Respite clients via the Agencies on Aging and the Alzheimer’s Association Veterans via the VA Community Care Network. Respite clients via CMS GUIDE Model partnerships (e.g., PocketRN)

Issue timely invoices in: QuickBooks for private-pay and third-party clients VA’s dedicated billing portal for veteran clients

Act as back-up biller for Medicaid Waiver clients via: Sandata (CT's Electronic Visit Verification system) DSSMaps portal

Generate and distribute weekly Excel reports of open invoices

Create additional reports for billing trends and management requests

Track and maintain current accounts receivable balances

Follow up with clients or payers to collect outstanding payments and resolve billing discrepancies

Monitor and update client service authorizations and eligibility statuses monthly

Proactively foster relationships and communicate clearly with referral sources to resolve missing authorizations or eligibility issues

Work closely with CHS’s Medicaid billing lead on project-based needs

Work closely with CHS’s real-time monitoring lead on Electronic Visit Verification (EVV) adherence to ensure accurate and timely billing

Partner with the Client Care Team to: Track and document Interruptions of Service (IOS) Ensure schedules reflect accurate service delivery within authorization limits Perform other duties as they may arise

Qualification

Billing experienceQuickBooksExcelSandata experienceHome care experienceTech-savvyDeadline-focusedBilingual (English/Spanish)Organizational skillsDetail-oriented