Billing Specialist

The Billing Specialist supports the Corporate Accounting and Finance team with a primary focus on accounts receivable and collections, private pay and agency billing, and assistance with payroll and general accounting functions as needed. This role is critical to ensuring timely, accurate financial operations while maintaining strong relationships with clients, families, vendors, and partners. The ideal candidate is detail-oriented, highly organized, and capable of managing multiple priorities in a fast-paced environment. As a representative of Home Instead within the community, the Billing Specialist must consistently demonstrate the organization’s core value, Love (v.), through patience, kindness, humility, selflessness, respect, forgiveness, honesty, and commitment in all interactions. Key Responsibilities

• Set up new clients, including contract review, billing fees, ACH information, contacts, and payer details
• Review daily billing records for all franchise locations to ensure invoicing is accurate and completed on time
• Review and submit VA billing and claims on a semi-monthly basis
• Review managed care billing and claims
• Initiate and assist clients with long-term care insurance claims, including setup, documentation, and claim submission
• Process service authorization requests and submit Medicaid claims to the appropriate third-party administrators (TPAs)
• Review unpaid claims and service authorizations, research discrepancies, and resolve payment issues
• Respond promptly and professionally to client inquiries and requests for billing-related information
• Provide accurate, timely, and professional customer service regarding accounts receivable
• Identify opportunities for process improvements and operational efficiencies
• Perform additional duties as assigned Qualifications & Skills Education & Experience
• Prior experience in accounting preferred
• Billing experience is a plus
• Customer service experience working directly with older adults, families, and vendors is preferred Technical Skills
• Strong Excel skills required
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Experience with WellSky or similar billing systems is a plus
• Ability to navigate and work within vendor portals Core Competencies
• Strong attention to detail to ensure accuracy in client records, billing, and compliance documentation
• Excellent verbal and written communication skills, with the ability to build trust and rapport through clear and compassionate communication
• Strong organizational and problem-solving skills, with the ability to manage multiple clients, tasks, and deadlines simultaneously
• Ability to establish and maintain positive working relationships with clients, families, key stakeholders, and vendors
• Ability to work independently, maintain confidentiality, and meet deadlines
• Professional appearance and demeanor at all times

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