Medical Insurance Billing Specialist

Billing Specialist

Full Revenue Cycle | High-Volume Environment

At Home Harmony delivers an innovative, integrated care model through which seniors experience the highest-quality geriatric healthcare from the comfort of their own home.

We are a fast growing in-home coordinated care providers headquartered in Richmond, expanding in Virginia and beyond. We operated a home-based primary care medical practice, paired with a long-term care pharmacy, a leading edge dementia program, and more. Our mission is to provide coordinated care to help home-bound complex geriatric patients stay in their homes longer while providing vital support to their caregivers, ensuring the comfort and well-being of both. With tremendous potential for career growth, At Home Harmony offers an exciting opportunity to advance in a rapidly expanding organization.

Position Overview

We are seeking a seasoned, performance-driven Billing Specialist to join our revenue cycle team. This is not an entry-level billing role. We are looking for a highly experienced professional who understands the full medical billing lifecycle and can independently manage claims from submission through final resolution. This position plays a critical role in protecting and maximizing organizational revenue.

Key Responsibilities

· Perform full-cycle billing (charge entry through claim resolution)

· Submit and scrub electronic and paper claims

· Aggressive follow-up on unpaid, rejected, and denied claims

· Prepare and submit appeals with supporting documentation

· Post payments and reconcile remittances

· Manage aging reports and maintain AR within established benchmarks

· Analyze EOBs and identify underpayments

· Identify billing trends, denial patterns, and revenue leakage

· Collaborate with clinical and administrative teams to correct documentation gaps

· Ensure compliance with Medicare, Medicaid, and commercial payer guidelines

· Maintain productivity and quality metrics in a high-volume department

Required Experience

· 5+ years of medical billing experience

· Demonstrated success reducing AR days and increasing clean claim rates

· Experience in a busy, high-volume revenue cycle department

· Strong working knowledge of CPT, ICD-10, and HCPCS coding application

· Experience managing Medicare, Medicaid, and commercial payer claims

· Proven denial management and appeals experience

· Ability to interpret payer contracts and reimbursement methodologies

· Strong analytical and problem-solving skills

· High attention to detail with strong follow-through

Recommended Systems Experience

· Waystar (clearinghouse)

· athenahealth (ATHENA)

· Palmetto GBA

· Availity

· Medicare MAC portals

· Medicaid state portals

· Commercial payer portals

· Electronic Remittance Advice (ERA) systems

Work Environment

This is a fast-paced, high-volume billing department with measurable performance expectations. The ideal candidate is flexible, proactive, accountable, and capable of working independently with minimal supervision.

**How to Apply:**

Application Process: Interested candidates should submit a resume and cover letter outlining their qualifications and experience related to the role.

At Home Harmony is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Work Location: In person.

Come join us in our newly renovated office space.

Pay: $20.00 - $24.00 per hour

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Experience

• Athenahealth: 1 year (Required)

Work Location: In person