US Medical Billing Specialist

About Abby Care

Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving.

Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious: to train and employ family caregivers so they can get paid for the care they already provide at home.

Abby Care is building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide.

We are rapidly expanding our mission and looking for passionate team members to join. Abby Care has partnered with leading insurance plans, healthcare providers, and community organizatio

The Role

Work Schedule: Monday to Friday (9:00 AM  - 5:00 PM EST)

We're looking for an experience individual to join us as a Medical Billing Specialist. You will report into the Director of RCM. This is a Full-Time Remote opportunity based in the United States. A Medical Biller for Home Health Services is responsible for accurately preparing, submitting, and following up on claims to insurance companies, government payers (e.g., Medicare, Medicaid), and patients. This role ensures timely reimbursement for home health services provided, compliance with regulations, and effective communication with healthcare providers and payers.

Key Responsibilities:

Billing and Claims Submission:

• Prepare, review, and submit accurate claims to insurance companies.
• Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered.
• Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care.
• Use billing software to process and track claims.

Accounts Receivable Management:

• Monitor claim status and follow up on unpaid or denied claims promptly.
• Investigate and resolve claim discrepancies, denials, and appeals.
• Generate reports for outstanding accounts receivable and payment trends.

Compliance and Documentation:

• Ensure all billing practices comply with federal, state, and local regulations.
• Verify patient insurance information, eligibility, and prior authorization requirements.
• Maintain accurate records of billing activities and patient accounts.

Communication and Coordination:

• Collaborate with office staff, and payers to address billing and reimbursement issues.
• Provide clear communication to patients regarding their billing, payments, and financial responsibilities.
• Respond to inquiries from payers, patients, and colleagues in a professional and timely manner.

The Requirements:

Education and Experience:

• High school diploma or equivalent (required); associate’s or bachelor’s degree in a related field (preferred).
• Certification in medical billing and coding (e.g., CPC, CHBME) is highly desirable.
• 1-3 years of experience in medical billing, preferably in a home health care setting.

Skills and Competencies:

• Strong knowledge of home health billing codes, insurance guidelines, and reimbursement processes.
• Proficiency with electronic health records (EHR) and billing software.
• Attention to detail and accuracy in data entry and documentation.
• Excellent problem-solving and organizational skills.
• Strong written and verbal communication skills.

Technical Requirements:

• Familiarity with Medicare and Medicaid billing guidelines specific to home health.
• Experience with claim submission platforms such as Medicare DDE and clearinghouses.
• Knowledge of HIPAA regulations to ensure patient confidentiality.

Our Values

1. Families First
   Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
   
   
2. Urgency with Precision
   Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.
   
   
3. Relentlessly Resourceful
   As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
   
   
4. Purpose with Positivity
   We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.
   
   
5. Driven to Redefine What’s Possible
   We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care. 

Benefits:

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.
• Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability.
• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays. 
• Team bonding. We love bringing our teams together. As a full-time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat.
• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered). 
• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

This is a Full-Time role with an estimated range of $50,000 - $60,000 base salary + bonus potential and benefits. 

 

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.