Billing Specialist

Billing Specialist  - Benefits

• Compensation: $27 - $30 per hour
• Type: Full-Time
• Schedule: Monday - Friday. 8 am - 5 pm
• Onsite
• Medical, Dental, Vision, 401k with employer matching, Voluntary Life, Flex-Spending Account Options Savings
• Generous PTO Plan (2 Week PTO) and encouragement to USE IT!
• 5-6 holiday  
• 5 sick days
• Grow & Shine: Work alongside healthcare professionals who mentor and support your career growth. 
• Open Doors, Open Minds: Transparent leadership that listens and values your voice. 
• Work-Life Bliss: Team outings, company events, and a commitment to putting you first. 
• An Office That Feels Like Home: Modern, welcoming, and dog-friendly (as long as Fido’s well-behaved!). 

About Us: 

At Care Partners At Home, we believe in making a meaningful difference in the lives of our clients and their families by providing compassionate, reliable, and personalized care services. We are a trusted leader in the home care industry, dedicated to creating an environment where clients feel supported, caregivers feel valued, and our team members thrive.

Our mission is simple: to deliver exceptional care with heart. We pride ourselves on fostering a culture of collaboration, innovation, and professional growth. Whether it's empowering our caregivers, ensuring the highest standards of service for our clients, or supporting our team behind the scenes, we are united by our commitment to making care personal.

When you join Care Partners At Home, you’re joining an organization that values your talents, invests in your growth, and appreciates the work you do to make a real impact.

If you’re looking for a rewarding career where you can grow, feel supported, and truly make a difference, Care Partners At Home is the place for you!

Requirements: 

• High school graduation/General Education Degree (GED) required.
• Minimum of one year of experience in a healthcare related field.
• Minimum of one year of medical billing and appeals experience required.
• Understanding of CMS1500 forms and electronic billing 
• Experience working on outstanding accounts receivable from aging reports. 
• Prior Experience working with CalOptima insurance is a plus. 
• Possess time management and organization skills. 
• Ability to apply problem-solving techniques to assigned duties. 
• Advanced computer skills in business applications; High proficiency in Microsoft suite of products. 
• Possess strong written and verbal skills with diverse populations; Excellent interpersonal and communication skills.
• Must present a professional appearance and promote a positive work environment.

Essential Functions:

• Complies with all company policies and procedures.
• Maintains confidentiality of client, associate, and company operations.
• Processes and submits clean claims to our contracted insurance payers including managed Medicare and Medicaid payers.
• Responsible for payment posting with accuracy and attention to detail.
•  Management of account receivable collections through targeted appeals and disputes when needed.
• Conducts periodic audits and eligibility checks to ensure the services we are providing will be properly covered by the payers.
• Ability to communicate audit results clearly to team members to effect change.
• Billing  Specialist  will work closely with our internal teams for schedule coordination to adhere to authorization limitations. 9. Performs other duties as requested.

All your information will be kept confidential according to EEO guidelines.