Billing Specialist

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Rosarium Health

WebsiteLinkedInAll Job Openings

2 - 10 employees

🏥 Healthcare

🏗️ Construction

Healthcare • Construction

Rosarium Health is a company that connects healthcare and home improvement by providing clinically-informed home modification services to enable safer care at home. They partner with health plans, clinicians (OTs and PTs), credentialed contractors, and service providers to perform assessments, design custom solutions, implement modifications, and document outcomes. Their mission is to reduce medical expenses, prevent institutionalization, improve activities of daily living (ADLs), lower readmissions, and improve quality scores (e. g. , CAHPS). They operate nationally and emphasize professional responsiveness, compliance, and measurable outcomes.

📋 Description

• Submit invoices to payers, track payments, manage denials, verify payment accuracy, apply payments, and resolve payment disputes • Monitor unpaid invoices, investigate rejections and denials, correct billing errors, and file payer appeals • Serve as the primary point of contact for payers regarding payment discrepancies • Manage DSO payment timeframes, targeting no receivables over 90 days • Submit invoices through direct payer channels, payer portals, clearinghouses, and other required modalities • Attach and ensure compliance of supporting documentation, including bids, completed assessments, proof of completed work, photos, and client sign-off forms • Apply accurate billing codes, HCPCS modifiers, and unit caps for EAA and home modification waiver programs • Reconcile payments with invoices or claims and log payments in internal billing software • Document and implement billing requirements for current and new payer business • Manage invoices and payments to network providers

🎯 Requirements

• 3+ years of ancillary medical billing and collections experience, preferably non-medical billing and collections, with MCOs and other payer types • Successful track record managing billing and collections for ancillary or non-medical benefits • Deep understanding of Medicaid, Medicare, and dual-eligible billing guidelines and compliance requirements • Direct experience with ILOS, HCBS, and LTSS waiver codes • Proficiency with payer portals, clearinghouses, EDI systems, and billing/EHR platforms • High attention to detail regarding billing requirements, coding, modifier usage, authorization unit counts, and documentation attachments • Strong verbal and written communication skills for interfacing with internal teams, case managers, and payer representatives • Direct billing experience for ancillary and community-based services preferred • Specialized expertise in state waiver billing rules preferred • Understanding of billing regulations and compliance with government programs • Ability to work across the organization to complete required job tasks

🏖️ Benefits

• Offers Equity • Full benefits • Remote work arrangement