Billing Specialist

About the role

Caregiver’s Home Solutions (CHS) is seeking a detail-oriented and dependable Billing Specialist to support billing operations in our Shelton, CT office. The ideal candidate will have experience with healthcare billing, Medicaid Waiver billing, and claims processing in a fast-paced office environment. Sandata experience is strongly preferred.

Responsibilities

• Input data and prepare claims in AxisCare for billing purposes within Sandata and DSSMaps
• Create, review, and export invoices in AxisCare system for processing finalized claims with Sandata
• Confirm shifts worked to ensure accurate and timely billing
• Research and resolve billing inconsistencies, denied claims, and payment discrepancies
• Maintain client billing records and all supporting documentation
• Secure and verify prior authorizations, eligibility, and required billing documentation
• Provide daily billing updates and reports for management review
• Provide daily billing issues status report for management review
• Collaborate with internal departments, as well as external payors as needed, to resolve billing concerns and improve workflow efficiency
• Collect and maintain compliance-related documentation as needed
• Communicate professionally, clearly, and thoroughly with clients, payers, and internal staff regarding billing matters
• Avoid breaches of confidentiality and HIPAA compliance
• Perform additional billing and administrative projects as assigned

Qualifications

• Bilingual Spanish preferred
• Minimum of 2–3 years of billing, bookkeeping, healthcare billing, or related experience preferred
• Experience with Medicaid Waiver billing strongly preferred
• Experience with Sandata and DSSMaps systems is strongly preferred
• Experience in home care, healthcare, or service industry billing preferred
• Familiarity with AxisCare software is a plus
• Strong computer skills including Microsoft Excel, Word, Outlook, and QuickBooks
• Excellent attention to detail and organizational skills
• Strong written and verbal communication skills
• Professional, dependable, and team-oriented attitude