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Now Hiring Part Time Billing & Claims Specialist

Paramount Home Health Care

  • Holiday, Florida
  • 10 days ago

    Highlights

    Experience working with payers such as Humana, Simply Healthcare, Sunshine Health, Florida Blue, Molina Healthcare, Veterans Affairs (VA), Medicaid, Medicare, and other insurance plans is highly desirable. We Offer Fast & Reliable Medical & HealthCare Solutions to Our Patients At Paramount Home Health Care, we are dedicated to providing exemplary care for our patients and their families to give them the peace of mind they deserve.

    Numbers & Facts

    LocationHoliday, Florida

    Description

     PART-TIME BILLING & CLAIMS SPECIALIST
    Paramount Home Health Care LLC is looking for an experienced, professional, reliable, and highly detail-oriented Billing & Claims Specialist to join our team.
     Work Location
    This is an IN-OFFICE position — NOT REMOTE.
    You may choose to be based at either of our locations:
    • Holiday, Florida Office
    • Brooksville, Florida Office
    Position Details
    Part-Time – 3 Days Per WeekDays: Monday – WednesdayPay: Negotiable based on experience
    Flexible Hours
    You may choose between the available work schedules:
    • 7:00 AM – 3:30 PM, including a 30-minute unpaid break
    • 8:00 AM – 4:30 PM, including a 30-minute unpaid break
    REQUIRED EXPERIENCE
    Candidates MUST have hands-on experience with:
    • HHAeXchange
    • Availity
    • Healthcare/home health billing
    • Claims submission and follow-up
    • Checking claim status and payments
    • Handling denied, rejected, pending, and unpaid claims
    Experience working with payers such as Humana, Simply Healthcare, Sunshine Health, Florida Blue, Molina Healthcare, Veterans Affairs (VA), Medicaid, Medicare, and other insurance plans is highly desirable.
    EVV EXPERIENCE – STRONG PLUS
    Experience with our EVV system, Alora Plus, will make you a strong candidate for this position.
    If you do not have experience with Alora Plus, training can be provided as long as you are a fast learner, comfortable with technology, and willing to learn quickly.
    Key Responsibilities
    • Submit claims accurately and on time
    • Follow claims from submission through final payment
    • Check claim status using HHAeXchange, Availity, and payer portals
    • Follow up on unpaid, rejected, denied, or pending claims
    • Correct and resubmit claims when necessary
    • Research denials and payment discrepancies
    • Communicate professionally with insurance companies and payer representatives
    • Review remittance and payment information
    • Maintain accurate billing and claims records
    • Assist with payment reconciliation
    • Work with our EVV and billing systems
    • Follow outstanding claims until they are resolved and paid
    Qualifications
    • HHAeXchange experience is REQUIRED
    • Availity experience is REQUIRED
    • Previous home health or healthcare billing experience
    • Strong claims follow-up and denial-resolution skills
    • Alora Plus experience is a strong advantage
    • QuickBooks experience is a plus
    • Extremely detail-oriented and organized
    • Professional, committed, dependable, and reliable
    • Strong computer and communication skills
    • Fast learner and able to work independently
    We are looking for someone who understands that billing does not stop when a claim is submitted. You must be willing to take ownership of claims, identify and resolve problems, communicate with payers, and follow claims until they are successfully processed and paid.
    IMPORTANT: This is an in-person position. Please do not apply if you are looking for remote work.
    If you have strong home health billing experience and are comfortable working with HHAeXchange and Availity, we encourage you to apply!

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