Abby Care
51 - 200 employees
🏥 Healthcare
📦 Logistics
💼 Consulting
Healthcare • Logistics • Consulting
Abby Care is a service that helps families get paid for providing in-home care to loved ones with disabilities or special needs. The organization trains and certifies family caregivers at no cost, manages hiring and payroll, navigates Medicaid and insurance paperwork to secure payment, and provides a purpose-built platform, clinical support, and community resources. Abby Care operates in multiple U. S. states and focuses on enabling high-quality, compensated family caregiving through partnerships with insurers and Medicaid programs.
Home Health Medical Billing Specialist
🔥 0 minutes ago
🇵🇭 Philippines – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🏥 Medical Billing and Coding
🚫👨🎓 No degree required
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Abby Care
51 - 200 employees
🏥 Healthcare
📦 Logistics
💼 Consulting
Healthcare • Logistics • Consulting
Abby Care is a service that helps families get paid for providing in-home care to loved ones with disabilities or special needs. The organization trains and certifies family caregivers at no cost, manages hiring and payroll, navigates Medicaid and insurance paperwork to secure payment, and provides a purpose-built platform, clinical support, and community resources. Abby Care operates in multiple U. S. states and focuses on enabling high-quality, compensated family caregiving through partnerships with insurers and Medicaid programs.
📋 Description
• Review and prepare medical claims for submission to insurance providers • Ensure CPT, diagnosis, revenue, and place-of-service codes are accurate before claim submission • Convert Electronic Visit Verification (EVV) records into billable claims • Enter and manage 60–75 claims per day • Conduct weekly payroll quality assurance of home health aide hours • Perform weekly QA of home health aide visits for billing to Managed Care Organizations • Verify charted and worked hours match health-plan-authorized hours • Support Revenue Cycle Management, focusing on claim entry and billing • Verify complete and accurate billing information and assist with Coordination of Benefits • Monitor claims for payer compliance • Enter and manage claims in billing systems such as CollaborateMD • Maintain accurate records in billing and related systems • Use multiple systems simultaneously with dual monitors and screen-sharing tools • Communicate with internal teams about billing documentation and claim issues • Follow billing workflows and escalate issues when necessary
🎯 Requirements
• 2–3 years of experience in U.S. medical billing • Strong understanding of the Revenue Cycle Management (RCM) process • Experience with CPT, diagnosis, revenue, and place-of-service codes • Experience preparing and submitting high-volume insurance claims while maintaining accuracy • At least 1 year of Home Health billing experience • Proficiency in Excel/Google Sheets and EHR/EMR systems • Comfortable working with multiple systems and technologies using dual monitors and screen-sharing tools • Excellent attention to detail • Strong organizational skills • Ability to follow detailed instructions • Strong written and spoken English communication skills • Highly adaptable to change and willing to adapt to changes in the role • Preferred: Medicaid billing experience • Preferred: Experience working in remote or distributed teams • Preferred: CollaborateMD (CMD) experience • Preferred: Familiarity with Availity, NaviNet, Waystar, NextGen, or Avaya
🏖️ Benefits
• Annual company performance bonus for global team members • 15 days of paid time off • 10 paid company US holidays • Growth opportunities • Opportunity to build leadership skills while working with teams in various markets across the US
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