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Focused on supporting client's billing and finance operations across a multi-state home care environment. This role requires strong written and verbal English, home care billing awareness, accuracy with timesheets and EVV records, persistence with payer follow-up, and the ability to follow detailed workflows across billing, communication, and government registration portals.

Responsibilities: 

• Process Medicaid, insurance, and private-pay home care billing.
• Verify insurance eligibility, authorizations, and approved service hours before claim submission or billing follow-up.
• Review caregiver timesheets, EVV records, and service documentation for billing accuracy.
• Resolve denied claims, unpaid claims, and billing discrepancies promptly.
• Maintain accurate client billing, payment, AR, and follow-up records in Smartsheet and internal systems.
• Coordinate billing issues with internal staff, caregivers, clients as needed, and insurance companies.
• Support billing authorizations and AR review to ensure payer requirements, approved service hours, and required documentation are aligned.
• Conduct outbound and inbound follow-up with insurance companies and payer contacts, documenting each touchpoint clearly.
• Use HHA Exchange, Availity, Waystar, Smartsheet, Telego, payer portals, and related internal systems as required.
• Support Missouri CDS vendor operations by completing consumer/employer registrations, including IRS EIN, Missouri state registration/EIN, Kansas City registration/EIN when applicable, state unemployment account setup, and SUTA rate tracking.
• Follow client's SOPs, instructions, websites, AI tools, and screen-recorded process videos to complete portal-based registrations and billing workflows.
• Escalate blockers, missing information, system issues, and priority payer/client concerns to Eli promptly.
• Additional billing, finance, and administrative support tasks as the agency grows.