Job Description:
Reliable Home Care Providers, Inc. is seeking a detail-oriented and organized Billing Specialist to support our Home Service department. The ideal candidate will be responsible for billing and claims processing for non-medical home care services, including Medicaid, insurance, and the Illinois Department on Aging (IDoA) programs. This position ensures accurate billing, timely claim submission, proper documentation, and follow-up on outstanding payments.
Key Responsibilities:- Prepare, review, and submit billing claims for non-medical home care services provided by caregivers.
- Process billing for Medicaid, insurance, and Illinois Department on Aging (IDoA) programs.
- Verify client eligibility, payer coverage, service authorizations, and approved service hours.
- Ensure billed hours match authorized services and documented caregiver hours.
- Follow applicable IDoA program requirements, payer guidelines, and billing procedures.
- Monitor claim status and follow up on pending, rejected, and denied claims.
- Investigate billing discrepancies, correct errors, and resubmit claims as needed.
- Track accounts receivable and follow up on outstanding payments.
- Reconcile payments and identify discrepancies between submitted claims and received reimbursements.
- Maintain accurate billing records, client information, authorization details, and supporting documentation.
- Ensure compliance with payer requirements, agency policies, and applicable regulations.
- Maintain confidentiality of client information in accordance with HIPAA requirements.
- Perform other related billing and administrative duties as assigned.
- We offer a competitive benefits package, including:100% employer-paid major medical insurance
- Dental insurance
- Vision insurance 401(k) retirement plan
- Paid time off
- Paid sick leave
- Bi-weekly pay
Requirements:
Previous experience in home care billing, or healthcare claims processing preferred.
Experience with IDoA billing, Medicaid, and insurance strongly preferred.
Knowledge of non-medical home care services, service authorizations, and billing systems.
Strong attention to detail and accuracy when reviewing billing records.
Proficiency in Microsoft Office and electronic billing systems.
Excellent organizational, communication, and problem-solving skills.
Ability to manage multiple tasks, meet deadlines, and work independently.
Ability to collaborate effectively with administrative staff, care coordinators, and external payer representatives.
