Billing Specialist – Home Care

Reliable Home Care Providers, Inc. is seeking a detail-oriented and organized Billing Specialist to support our Home Service department. The ideal candidate will be responsible for billing and claims processing for non-medical home care services, including Medicaid, insurance, and the Illinois Department on Aging (IDoA) programs. This position ensures accurate billing, timely claim submission, proper documentation, and follow-up on outstanding payments.

Key Responsibilities

• Prepare, review, and submit billing claims for non-medical home care services provided by caregivers.
• Process billing for Medicaid, insurance, and Illinois Department on Aging (IDoA) programs.
• Verify client eligibility, payer coverage, service authorizations, and approved service hours.
• Ensure billed hours match authorized services and documented caregiver hours.
• Follow applicable IDoA program requirements, payer guidelines, and billing procedures.
• Monitor claim status and follow up on pending, rejected, and denied claims.
• Investigate billing discrepancies, correct errors, and resubmit claims as needed.
• Track accounts receivable and follow up on outstanding payments.
• Reconcile payments and identify discrepancies between submitted claims and received reimbursements.
• Maintain accurate billing records, client information, authorization details, and supporting documentation.
• Ensure compliance with payer requirements, agency policies, and applicable regulations.
• Maintain confidentiality of client information in accordance with HIPAA requirements.
• Perform other related billing and administrative duties as assigned.

We offer a competitive benefits package, including:

• 100% employer-paid major medical insurance
• Dental insurance
• Vision insurance
• 401(k) retirement plan
• Paid time off
• Paid sick leave
• Bi-weekly pay