We are seeking an experiencedHome Health Medical Billing Specialist to support Medicaid, VA, and Private Pay revenue cycle operations. This role focuses onEVV-based billing, claims management, accounts receivable, and denial resolution in a fast-paced home care environment.

The ideal candidate has strong experience inmedical billing, Medicaid claims, and Revenue Cycle Management (RCM), preferably in home health or community-based care.

Overview:

The Medical Billing Specialist is responsible for managing the fullhome health revenue cycle, including EVV-verified visit billing, Medicaid and VA claims submission, payment posting, denial resolution, and AR follow-up.

This role requires strong attention to detail, knowledge ofhome care billing workflows, and the ability to manage multiple payer systems in a fast-paced environment.

Key Responsibilities:

Submit and manage claims for home health services (Medicaid, VA, Private Pay)
ProcessEVV-verified visit data for accurate billing
Monitor claims and resolvedenials, rejections, and underpayments
Manageaccounts receivable (AR) follow-up and collections
Post payments and reconcile billing accounts
Verify authorizations prior to billing
Collaborate with scheduling, clinical, and operations teams to resolve billing discrepancies
Maintain accurate billing documentation for audit readiness
Assist with month-end reporting and revenue cycle audits
Ensure compliance with Medicaid waiver, VA, and payer regulations

Qualifications:

2+ years of medical or healthcare billing experience
Strong understanding ofRevenue Cycle Management (RCM)
Experience with claims submission,AR follow-up, and payment posting
Knowledge of Medicaid billing requirements
Proficiency in Microsoft Excel
Strong attention to detail, accuracy, and organization
Must live in Albuquerque or surrounding areas

Preferred

Experience with home health or home care billing
Familiarity withEVV (Electronic Visit Verification) systems
Experience withHCBS or Medicaid waiver programs
Experience with VA home care billing
Background in home health, personal care services (PCS), or community-based care
Experience with home health billing software orEHR/EMR systems

Benefits:

Competitive wages and benefits packages.

Opportunities for professional development and career advancement.

Supportive and collaborative work environment.

Why Join Us?

AtHeritage Home Healthcare, we are committed to delivering compassionate, personalized care that helps individuals maintain independence and dignity in their own homes. Our team is supported through ongoing training, collaboration, and a shared commitment to meaningful work.

We value our employees and recognize the vital role they play in our mission. Join a team where your work makes a real impact every day.

Apply Now!

Heritage Healthcare Services remote jobs

Medical Billing Specialist - Home Health (Medicaid, VA & EVV)