Medical Billing Specialist - Home Health (Medicaid, VA & EVV) Job at Heritage Healthcare Services, Albuquerque, NM

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  • Heritage Healthcare Services
  • Albuquerque, NM

Job Description

We are seeking an experienced Home Health Medical Billing Specialist to support Medicaid, VA, and Private Pay revenue cycle operations. This role focuses on EVV-based billing, claims management, accounts receivable, and denial resolution in a fast-paced home care environment.

The ideal candidate has strong experience in medical billing, Medicaid claims, and Revenue Cycle Management (RCM) , preferably in home health or community-based care.

Overview:

The Medical Billing Specialist is responsible for managing the full home health revenue cycle , including EVV-verified visit billing, Medicaid and VA claims submission, payment posting, denial resolution, and AR follow-up.

This role requires strong attention to detail, knowledge of home care billing workflows , and the ability to manage multiple payer systems in a fast-paced environment.

Key Responsibilities:

  • Submit and manage claims for home health services (Medicaid, VA, Private Pay)
  • Process EVV-verified visit data for accurate billing
  • Monitor claims and resolve denials, rejections, and underpayments
  • Manage accounts receivable (AR) follow-up and collections
  • Post payments and reconcile billing accounts
  • Verify authorizations prior to billing
  • Collaborate with scheduling, clinical, and operations teams to resolve billing discrepancies
  • Maintain accurate billing documentation for audit readiness
  • Assist with month-end reporting and revenue cycle audits
  • Ensure compliance with Medicaid waiver, VA, and payer regulations

Qualifications:

  • 2+ years of medical or healthcare billing experience
  • Strong understanding of Revenue Cycle Management (RCM)
  • Experience with claims submission, AR follow-up, and payment posting
  • Knowledge of Medicaid billing requirements
  • Proficiency in Microsoft Excel
  • Strong attention to detail, accuracy, and organization

Preferred

  • Experience with home health or home care billing
  • Familiarity with EVV (Electronic Visit Verification) systems
  • Experience with HCBS or Medicaid waiver programs
  • Experience with VA home care billing
  • Background in home health, personal care services (PCS), or community-based care
  • Experience with home health billing software or EHR/EMR systems

Benefits: 

  • Competitive wages and benefits packages. 
  • Opportunities for professional development and career advancement. 
  • Supportive and collaborative work environment. 

Why Join Us?

At Heritage Home Healthcare , we are committed to delivering compassionate, personalized care that helps individuals maintain independence and dignity in their own homes. Our team is supported through ongoing training, collaboration, and a shared commitment to meaningful work.

We value our employees and recognize the vital role they play in our mission. Join a team where your work makes a real impact every day.

Apply Now!

Job Tags

Part time

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