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.