Billing Manager
1 day ago
Company Description
Proactive Medical Billing & Coding LLC is a trusted leader in revenue management solutions tailored for healthcare practices. We specialize in medical billing, coding, and revenue cycle management, alleviating administrative burdens and maximizing financial performance. Utilizing advanced technology and adhering to industry regulations, we deliver seamless integration with practices to optimize reimbursement. Our comprehensive services include billing, eligibility verification, denial management, compliance, and transparent reporting, all designed to drive financial success.
Role Description
We are seeking an
experienced Medical Biller
who specializes in
Home Health Agency billing
and is well-versed in handling
Medi-Cal, PPO, HMO, and other commercial insurance plans
.
The ideal candidate should have
strong knowledge of authorizations, eligibility verification, claims submission, and denial management
— with the ability to ensure timely and accurate reimbursement for all payors.
Key Responsibilities:
- Manage
end-to-end billing cycle
for Home Health Agencies (Medi-Cal, PPO, HMO, and commercial insurances). - Perform
eligibility and benefits verification
for new and existing patients. - Obtain
prior authorizations
for all required services. - Prepare, review, and
submit clean claims
through clearinghouses or payer portals. - Handle
denial management, re-submissions, and appeals
efficiently. - Maintain
accurate billing records
and follow up on outstanding claims. - Ensure compliance with
HIPAA
and all payer billing regulations.
Qualifications:
- Minimum 3
+ years of experience
in medical billing (Home Health preferred). - Expertise in
Medi-Cal, PPO, HMO
, and commercial insurance billing processes. - Strong understanding of
authorization, eligibility, and denial management workflows. - Proficiency with
billing software
and payer portals (Availity, Office Ally, etc.). - Excellent communication and organizational skills.
Why Join us:
- Competitive salary based on experience.
- Remote-friendly work environment.
- Opportunity to grow with a fast-expanding healthcare billing team.
How to Apply:
If you meet the above requirements and are ready to bring your expertise to a professional, growth-driven environment — please send your
resume
or
LinkedIn profile
to
with the subject line
"Medical Biller – Home Health"
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