Billing Specialist

Revenue Cycle Billing Specialist – Medicaid & VA

Department: Billing

Reports To: Owners / Billing Manager

Status: Full-Time | On-Site (Not Remote)

Location: Norfolk, Nebraska

About Right at Home

Right at Home is a locally owned home care agency serving seniors, veterans, and adults with disabilities throughout Northeast and Central Nebraska. Our mission is To Improve the Quality of Life for Those We Serve , and we are passionate about providing exceptional care while creating an outstanding workplace for our employees.

We're proud to have been recognized as a Forbes Best Place to Work for three consecutive years , reflecting our commitment to teamwork, integrity, compassion, and professional growth.

Position Summary

We're looking for a detail-oriented and organized Revenue Cycle Billing Specialist to help manage our Nebraska Medicaid Waiver and VA billing process. This role focuses on submitting claims, resolving billing issues, maintaining billing compliance, and working with our internal teams and payer partners to ensure services are billed accurately and paid promptly.

If you enjoy problem-solving, staying organized, and helping improve processes, this is a great opportunity to make a meaningful impact.

Primary Responsibilities

• Submit Medicaid Waiver claims through Netsmart and VA Community Care claims through Optum.
• Review visits, authorizations, and documentation for billing accuracy.
• Resolve claim denials, rejected visits, billing exceptions, and payment delays.
• Monitor Electronic Visit Verification (EVV) compliance and assist with Force Pay requests when needed.
• Coordinate with Scheduling, Client Care, Recruiters, Care Professionals, and Billing to obtain required documentation.
• Communicate with Netsmart, Nebraska DHHS, Optum, VA representatives, and other payer contacts to resolve billing issues.
• Submit weekly IVR phone approval requests for eligible Medicaid clients.
• Track billing performance, collections, and outstanding claims while identifying opportunities to improve reimbursement and efficiency.
• Assist with Long-Term Care Insurance billing inquiries and support the billing team as needed.
• Perform other related duties as assigned.

Qualifications

Required

• High school diploma or equivalent.
• Strong computer skills, including Microsoft Office.
• Excellent organization, attention to detail, and communication skills.
• Ability to prioritize multiple tasks and work both independently and as part of a team.

Preferred

• Healthcare billing experience.
• Experience with Medicaid, VA Community Care, or home care billing.
• Familiarity with Netsmart, Optum, WellSky, or similar healthcare software.
• Knowledge of Electronic Visit Verification (EVV) is a plus.

Why Join Right at Home?

We believe our employees are our greatest asset. When you join our team, you'll enjoy:

• Competitive pay
• Health, dental, and vision insurance
• Paid Time Off (PTO) and paid holidays
• Retirement savings opportunities
• Ongoing training and professional development
• Career growth opportunities
• Supportive team environment
• The opportunity to work for a Forbes Best Place to Work for three consecutive years

If you're looking for a rewarding position where your work directly supports quality care and the financial success of a growing healthcare organization, we'd love to hear from you.