Jobs · Healthcare · Virginia

Medical Billing and Posting Specialist

Human Touch Health Care Agency · Falls Church, VA · 2 mo ago
HealthcareFull-time

Help keep healthcare moving. Turn accuracy into impact at Human Touch Home Health, an established provider serving communities for over 27 years. Join our Falls Church, Virginia office as a full-time, in-office Medical Billing & Payment Posting Specialist and support the financial health of our home health organization.

About the Role

As a Medical Billing & Payment Posting Specialist, you'll play a vital role in maintaining a healthy revenue cycle while ensuring compliance with Medicare, Medicaid, and commercial insurance requirements. Your work ensures our clinicians can continue providing exceptional care to patients in their homes.

Responsibilities

  • Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, and commercial insurance payers
  • Accurately post payments received through checks, electronic funds transfers (EFTs), and electronic remittance advices (ERAs)
  • Monitor accounts receivable and follow up on outstanding claims
  • Investigate claim denials, identify root causes, and submit timely appeals to maximize reimbursement
  • Verify that Electronic Visit Verification (EVV) aligns with clinical documentation before billing
  • Reconcile daily and monthly payment postings with bank deposits and remittance reports
  • Verify patient insurance eligibility and benefits
  • Navigate clearinghouse systems to resolve claim submission issues
  • Maintain compliance with HIPAA, CMS regulations, and state Medicaid requirements
  • Collaborate with clinical, intake, scheduling, and leadership teams to resolve billing concerns and improve reimbursement processes

Requirements

  • Minimum of 2–3 years of home health medical billing experience
  • Strong knowledge of Medicare, Medicaid, commercial insurance billing, and home health reimbursement guidelines
  • Experience with WellSky Home Health or similar home health billing software strongly preferred
  • Experience processing home health claims, payment posting, denial management, and accounts receivable follow-up
  • Proficient with Microsoft Excel, including spreadsheets, data tracking, and basic formulas
  • Experience using electronic clearinghouses and remittance systems
  • Strong analytical, organizational, and problem-solving skills
  • Exceptional attention to detail with the ability to prioritize multiple deadlines
  • Ability to work independently while contributing to a collaborative team environment

Benefits

  • Competitive salary
  • Medical, dental, and vision insurance
  • Paid time off and paid holidays
  • Aflac benefits available
  • Professional growth and advancement opportunities
  • Collaborative and supportive leadership

Some benefits are available to full-time employees only.

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