A company is looking for a Billing Professional to manage Medicare home health claims and ensure accurate billing processes.
Key Responsibilities Submit and manage Medicare home health claims, including NOAs and final claims under PDGM Verify eligibility and benefits, resolve mismatches, and track reason codes and edits Work with various teams to ensure billable readiness and manage denials and ADRs Required Qualifications 3+ years of home health billing experience with hands-on DDE FISS Strong knowledge of PDGM billing and related codes and rules Experience with EDI transactions: 837I, 835, 276/277 Working knowledge of MACs and major Managed Care portals Detail-oriented with a focus on clean claim submission