Medical Biller - Home Health Care (FT)

About the Role:

We are looking for an experienced medical biller with significant experience in Home Health / Care Billing [PDGM experience]

• State Programs:Massachusetts ONLY
• Location: US-Based
• Commitment: Full Time
• Job Type: Contractor / Employee (starts immediately)
• Salary: Commensurate with experience
• Contact: [email protected]

Key Requirements:

Understanding of PDGM billing, processing of Institutional for Home Health/Home Care Plans, AND proficiency with reporting in Massachusetts ONLY [please do not apply if lacking this experience]

• Key Programs: Home Health [VNA, HHA, PCHM, etc] (MA-Only)

Qualifications :

• 3+ years of medical billing experience in Home Health billing in Massachusetts [non-negotiable]
• Strong understanding of Home Health platforms - e.g., Kinnser, Alora, Homecare Homebase, Axxess, and clearinghouses, e.g., Waystar
• Experience with PDGM billing and institutional claims
• Proficiency with data manipulation and analysis, i.e., using spreadsheets
• Expertise with ICD-10, ICD-9, and other coding systems as they relate to Home Health
• Excellent understanding of health insurance providers, Medicare, Medicaid and of industry-specific policies, such as HIPAA regulations for health care
• Excellent interpersonal, written, and oral communication skills with experience working directly with customers / providers in a healthcare setting
• Ability to delegate, understand and manage denials, and report

Responsibilities:

• Guide the onboarding of new customers and the setting up of new accounts across all applicable portals (EHRs, Clearinghouses, etc)
• Ensure accurate coding and billing as relates to Home Health Care as billed by the Anise platform or through our partner Clearinghouses.
• Work with the necessary Payors and EHRs Anise is integrated with to ensure efficient, error-free billing for Home Health claims
• Understand and handle billing exceptions to best serve our providers but also improve our platform capabilities
• Work with our Engineering team and Sales functions to improve customer experience and platform performance

Preferred Qualifications [not required]:

• 5+ years of medical billing experience, including considerable experiences with Medicare, Medicaid, and other Home Health programs.
• General experience in other local programs in different states (MA-Only)
• [Some] Knowledge of EDI X12 or ability to work with EDI healthcare systems and codes

Timelines: To start IMMEDIATELY

About Anise

We’re building a next-gen smart medical billing platform to eliminate the $100B+ lost annually to billing inefficiencies. The Anise Billing Platform applies cutting-edge technology across the entire billing stack—providing providers with transparent dashboards and analytics, integrating directly with payers and EHRs for seamless data flow, and leveraging our own clearinghouse for full control and visibility over claim submission and processing.

Our mission is to create a straightforward and transparent billing experience for healthcare providers, empowering their growth and allowing them to focus on providing exceptional care.

Job Types: Full-time, Part-time, Contract, Temporary

Pay: $23.00 - $29.00 per hour

Benefits:

• Flexible schedule

Application Question(s):

• Are you proficient with billing for Home Health and Home Care programs in Massachusetts? [PLEASE DO NOT APPLY IF NOT]
• Do you have at least 3 years experience with Home Health/Care billing? [Please do NOT apply if "No"]

Work Location: Remote