Healthcare Billing Specialist (Home Health)

About the Company: Our client is a U.S.-based healthcare billing and management company providing comprehensive medical billing, revenue cycle management, and administrative support to healthcare providers. Their mission is to streamline operations, optimize reimbursements, and deliver exceptional patient service.

Role Summary

We are looking for a detail-oriented Healthcare Billing Specialist with strong experience in medical billing and revenue cycle management, particularly within home health agencies. This role requires someone who can manage billing workflows end-to-end while supporting administrative and patient-facing tasks. Experience with ALORA software, home health billing processes, and reviewing Notices of Admission (NOAs) is highly preferred.

Key Responsibilities

• Billing & Revenue Cycle Management: Manage full-cycle medical billing, including claim submissions, follow-ups, denials, and appeals. Meet a daily KPI of 45 claim follow-ups per day.
• NOA Processing: Review and process Notices of Admission (NOAs) for accuracy and compliance, ensuring strict adherence to payer guidelines.
• Software Utilization: Utilize ALORA software for billing, documentation, and tracking, alongside verifying insurance eligibility and benefits workflows.
• Administrative Support: Prepare operational reports, track and organize Explanation of Benefits (EOBs), and assist with daily administrative overflow.
• Patient & Reception Support: Answer and manage calls using the Nextiva VoIP system, responding to patient inquiries professionally and promptly.

Required Skills & Qualifications

• Proven professional experience in medical billing and revenue cycle management, specifically with hands-on exposure to home health billing.
• Familiarity with ALORA software is a massive advantage (experience with eClinicalWorks, AdvancedMD, DrChrono, or WebPT is also valued).
• Solid understanding of HIPAA compliance, data privacy, and confidentiality standards.
• Excellent written and verbal English communication skills.
• Availability: Fully available during core working hours (9:00 AM – 5:00 PM PDT, Monday to Friday) with no other competing client commitments.
• Technical Requirements: Reliable computer setup, high-speed internet (minimum 15 Mbps), noise-canceling headset, and a quiet, professional workspace.
• Willingness to provide NBI or Police Clearance upon request.

Benefits & Perks

• Starting Salary: $6.00 - $7.00 USD per hour (depending on experience).
• Dedicated HR & Contractor Support Team for seamless client communication.
• Company-provided HIPAA & Cybersecurity Training + Certification.
• Access to proprietary Top 1% VA Performance Training and workflow templates.
• Client-Approved U.S. Holidays and flexible time off arrangements.
• Optional premium VPN access for enhanced data privacy and security protocols.