Commercial Insurance Billing Specialist - KidsCare Home Health

Pursue your passion and fulfill your purpose at KidsCare! KidsCare Home Health is a multi-award-winning organization who was most recently recognized as a 2024 U.S. Top Workplace. As an award-winning organization, we are looking for dedicated professionals who will embrace the KidsCare core values. At KidsCare we desire to work with individuals who embody the values of the organization which together create our C.A.R.E. culture. In return we offer a full benefits package to include health, dental, and vision insurance, paid time off, 401K, tuition reimbursement, and a hybrid or blended work arrangement .This position would be ideal for a new professional with some medical billing and knowledge and/or experience that is wanting a new challenge and to expand their skill set into commercial insurance payors for home health services! 

We are currently adding a Billing Specialist I to our team!  This position will require frequent interaction with patients, caregivers, and co-workers to ensure correct and efficient billing of services including nursing and occupational, physical and speech therapies in the pediatric home health setting. 

Essential Duties and Responsibilities

• Complete the billing process for all healthcare services. Ensuring that claims are filed timely with the appropriate insurance payer.
• Research outstanding claims.
• File appropriate appeals.
• Assist with payer changes.
• Post payments to appropriate accounts.
• Provide assistance in obtaining insurance authorization when needed.
• Coordinate and audit paper visits with daily notes for accuracy.
• Communicate outstanding discrepancies to the Billing Manager.
• Provide notification to client families, referring physicians, and therapists regarding eligibility status.
• Comply with all company policies, practices, and procedures.
• Other duties as assigned.

Education and Work Experience Requirements

• High school diploma or general education degree (GED).
• Prior medical billing experience preferred.
• Healthcare experience preferred.

Other Qualifications and Skills 

• Proficiency in Microsoft Excel.
• Ability to learn new concepts and ideas quickly.
• Exceptional customer service skills; especially in relation to internal team members.
• Ability to prioritize work and multi-task.
• High ethical and moral standards.

Physical Demands/Working Environment 

• While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard.
• Ability to sit at a computer for an extended period.
• Light to moderate physical activity and lifting is required.
• Specific vision abilities required by this job include close vision requirements.
• Moderate noise (i.e., business office with computers, phone, and printers, light traffic).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

About KidsCare

Established in 2003, we are a pediatric home health agency serving children with special needs across the country. Our focus is on nursing, speech, physical, and occupational therapy as well as providing case management for children up to 18 years of age.  Founded upon the principle that patient care/therapy is most effective when it is one-on-one, set in a familiar environment and includes family member and caregiver involvement, the organization has grown from its original roots in Dallas Texas to a multi-state operation.  Regardless of this growth, however, our original commitment of providing quality health care to every child and family serviced as never changed. If you are looking to be a part of a company whose culture is rooted in the C.A.R.E of others, please review the opportunity below and be sure to visit our website at  https://kidscarehomehealth.com/careers-overview/ for a full listing of our open positions.

INDA