Home Health Billing and Accounts Receivable Specialist

Job not on LinkedIn

🔥 8 minutes ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 14%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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RCM Staff LLC

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11 - 50 employees

Founded 2024

🏥 Healthcare

🎯 Recruiter

🤝 B2B

Healthcare • Recruitment • B2B

RCM Staff LLC is a staffing company that provides HIPAA-trained, healthcare-focused medical billers, certified coders, A/R follow-up specialists, and medical virtual assistants based in the Philippines who work directly inside U. S. clients’ existing EHRs, clearinghouses, and payer portals. The company handles recruiting, onboarding, training, and oversight while clients retain operational control; service tiers range from Core (staff augmentation) to Plus (account management and KPIs) and Executive (managed QA and continuity planning). RCM Staff targets medical billing companies, physician practices (solo, group, behavioral health, primary care), and RCM vendors, and emphasizes compliance (BAA available), AAPC-certified leadership, and 18+ years of U. S. revenue cycle experience.

📋 Description

• Verify Medicaid eligibility, payer assignment, authorizations, service codes, and approved units • Submit clean claims to Medicaid managed care plans and commercial payers • Correct claim rejections and submit corrected claims • Use Availity daily for eligibility, claim status, remittances, denials, and payer inquiries • Investigate and resolve denials and underpayments, including appeals and payment disputes • Follow up on unpaid and aged A/R by payer portal and phone • Track timely filing deadlines • Post and reconcile ERAs and EOBs against expected reimbursement • Reconcile visits, authorized units, and billed units to identify unbilled or incorrectly billed services • Prepare A/R aging, denial, and collections reports in Excel or Google Sheets • Document account activity and escalate payer issues to the team lead • Protect patient information and follow HIPAA requirements • Manage multiple agency accounts for home care clients

🎯 Requirements

• At least 2 years of U.S. home health billing experience • Strong, hands-on Availity experience, including claim status, remittances, and denials • Experience billing Medicaid managed care plans (MCOs) • Proven experience in denial management and A/R follow-up • Familiarity with commercial insurance and government health plans • Strong Excel or Google Sheets skills • Strong written and spoken English, including payer calls and written disputes • Excellent attention to detail and follow-up skills • Ability to work independently and manage multiple agency accounts • Reliable internet connection and a suitable remote workspace • Must be available during Central Time business hours • Preferred: Experience billing nonmedical home care, personal care, or HCBS waiver services • Preferred: Familiarity with Illinois Medicaid and Illinois Medicaid MCOs such as Aetna Better Health, Blue Cross Community Health Plans, Molina, Meridian, or CountyCare • Preferred: Experience using HHAeXchange, AxisCare, CareSmartz360, CareTime, or Axxess • Preferred: Experience with EVV visit reconciliation and authorization tracking

🏖️ Benefits

• Remote work arrangement • Full-time employment • Opportunity to support a revenue cycle company serving home care agencies • Philippines-based applicants preferred

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