In Office Billing/Collections Clerk
Company: American Home Health Care
Location: Pleasanton
Posted on: January 1, 2026
|
|
|
Job Description:
Position Overview: The Biller/Collections Coordinator is
responsible for managing collections, accounts receivable (AR)
follow-ups, insurance authorizations, and other assigned
billing-related duties. This position ensures timely collection of
outstanding balances and works closely with payers, internal teams,
and patients to resolve any reimbursement issues. This role does
not involve filing claims, as claims are submitted by HomeHealthMD
and HospiceMD EMR personnel. Job Responsibilities Contacts
insurance companies, Medicare, Medicaid, and patients regarding
unpaid balances using the aging report and other google products to
work on aging and comment updated status. Assists with
QA/Compliance/Billing workflows Resolves denied or delayed payments
by working with payers and internal teams, including HHMD and HMD
teams Documents all collection efforts and maintains detailed
records of payment resolutions o the RA Report section of HHMD and
HMD Obtains and tracks insurance authorizations for home health and
hospice services. Ensures proper documentation is submitted for
authorization approvals. Communicates with insurance providers and
internal staff regarding authorization requirements. Reviews AR
reports and coordinates with billers to address unpaid claims.
Assists in resolving billing discrepancies or issues flagged by
payers Supports responses to audits or payer requests for
additional documentation. Collaborates with intake, clinical, and
administrative teams to streamline reimbursement processes.
Maintains compliance with Medicare, Medicaid, and private insurance
guidelines. Performs additional duties as assigned by management.
The above statements are only meant to be a representative summary
of the major duties and responsibilities performed by incumbents of
this job. The incumbents may be requested to perform job-related
tasks other than those stated in this description. Minimum
Qualifications: Experience in home health or hospice
billing/collections preferred. Knowledge of Medicare, Medicaid, and
private insurance reimbursement policies. Strong understanding of
authorizations, AR follow-up, and collections processes .
Familiarity with HomeHealthMD and HospiceMD EMR systems is a plus.
Complies with accepted professional standards and practices .
Demonstrates strong verbal and written communication skills .
Ability to work independently, prioritize tasks, and meet
deadlines. At Least one year of previous health care related
billing related experience, preferably in home health care billing.
Physical Demands and Working Environment The conditions herein are
representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential job functions. Environment:
Standard office setting; tasks are regularly performed without
exposure to adverse environmental conditions; frequent interaction
with staff and the general public. The role requires that you wear
a headset, access and work within multiple systems while addressing
callers’ concerns in real time. Physical: Incumbents require
sufficient mobility to work in an office setting; stand or sit for
prolonged periods of time; operate office equipment including use
of a computer keyboard; light lifting, carrying, pushing and
pulling; ability to verbally communicate to exchange information.
Vision: See in the normal visual range with or without correction;
vision sufficient to read computer screens and printed documents;
and to operate assigned equipment. Hearing: Hear in the normal
audio range with or without correction.
PI992a4a8659e7-37456-39294959
Keywords: American Home Health Care, Santa Cruz , In Office Billing/Collections Clerk, Accounting, Auditing , Pleasanton, California
