Home Care Billing Specialist

LHCSA Biller – Home Care Billing Specialist

Job Title: LHCSA Biller / Home Care Billing Specialist

Location: New York

Job Type: Full-Time

Pay Rate: $25.00 per hour

Schedule: Monday–Friday

Position Summary

We are seeking a detail-oriented, organized, and experienced LHCSA Biller to join our growing home care team. The ideal candidate will have experience in home care billing, Medicaid Managed Long-Term Care (MLTC) billing, claims processing, and electronic visit verification (EVV).

The LHCSA Biller will be responsible for ensuring accurate and timely submission of claims, monitoring payments, resolving billing discrepancies, and maintaining compliance with New York State Medicaid and payer requirements.

This position plays an essential role in supporting the agency's financial operations and ensuring services provided to our patients are billed accurately and efficiently.

Key Responsibilities

Billing & Claims Processing

• Prepare, review, and submit accurate claims to Medicaid, MLTC plans, and other contracted payers.
• Process daily, weekly, and monthly billing for home care services.
• Verify service authorizations, approved hours, and billing rates prior to claim submission.
• Ensure all claims are submitted within payer deadlines.
• Review and reconcile billed hours against caregiver timesheets and EVV records.
• Identify and correct billing discrepancies, rejected claims, and denials.
• Process corrected claims and follow up on outstanding reimbursements.

Accounts Receivable & Reconciliation

• Monitor outstanding accounts receivable and follow up on unpaid claims.
• Review payment remittances and identify underpayments or discrepancies.
• Maintain accurate billing records and payment documentation.
• Assist with monthly billing reconciliation and reporting.
• Work to reduce claim denials and improve reimbursement turnaround times.

Compliance & Documentation

• Ensure billing practices comply with applicable New York State Medicaid, MLTC, EVV, and HIPAA requirements.
• Maintain accurate documentation to support claims and audits.
• Monitor changes to payer billing guidelines and reimbursement requirements.
• Assist with internal and external billing audits as needed.

Communication & Collaboration

• Work closely with scheduling, coordination, payroll, and clinical departments to resolve billing issues.
• Communicate with insurance providers and MLTC plans regarding claims, authorizations, and payments.
• Identify recurring billing issues and recommend improvements to increase efficiency and accuracy.

Qualifications

Required

• Previous medical billing experience, preferably within a Licensed Home Care Services Agency (LHCSA).
• Knowledge of Medicaid and Managed Long-Term Care (MLTC) billing.
• Understanding of home care billing procedures, claims submission, and reimbursement processes.
• Experience working with Electronic Visit Verification (EVV) systems.
• Strong attention to detail and organizational skills.
• Proficiency in Microsoft Excel and general computer applications.
• Ability to manage multiple priorities and meet billing deadlines.
• Strong communication and problem-solving skills.

Preferred

• 1–2 years of home care billing experience.
• Experience with HHAeXchange or similar home care management software.
• Familiarity with electronic claims submission, payment posting, and denial management.
• Knowledge of New York State home care billing regulations.
• Experience working with multiple MLTC plans and payer portals.

Compensation & Benefits

• Pay Rate: $25.00 per hour
• Full-time position
• Monday–Friday schedule
• Benefits available based on company policy
• Supportive and collaborative work environment
• Opportunities for professional growth and development

Ideal Candidate

The ideal candidate is dependable, analytical, and highly organized, with a strong understanding of home care billing operations. We are looking for someone who can work independently, identify and resolve billing issues proactively, and contribute to the overall efficiency and financial success of our agency.

How to Apply

Interested candidates are encouraged to submit their resume highlighting relevant medical billing, Medicaid, MLTC, and home care experience.

Join our team and help support our mission of providing quality home care services to the communities we serve!