Medical Billing Specialist (Home Healthcare | Massachusetts Insurance Experience Required)

<h1>Medical Billing Specialist (Home Healthcare Billing) – Part-Time</h1> <p><strong>Location:</strong> Remote (U.S. Time Zones - ET)<br><strong>Employment Type:</strong> Part-Time (20 hours/week)<br><strong>Potential Growth:</strong> Opportunity to transition into Full-Time (40 hours/week)</p> <h2>About the Role</h2> <p>Our client is a growing medical billing startup focused on supporting home healthcare providers across Massachusetts. They are seeking an experienced <strong>Medical Billing Specialist</strong> to manage billing operations and ensure accurate, timely reimbursement while maintaining compliance and operational excellence.</p> <p>This role is ideal for a billing professional who has hands-on experience with home healthcare billing, understands Massachusetts insurance requirements, and thrives in a fast-paced, remote startup environment.</p> <h2>Key Responsibilities</h2> <ul><li>Manage the end-to-end medical billing and revenue cycle process for home healthcare services.</li><li>Process and submit medical claims accurately and efficiently.</li><li>Verify patient insurance eligibility and benefits.</li><li>Track, monitor, and follow up on submitted insurance claims.</li><li>Investigate and resolve claim denials, billing discrepancies, and reimbursement issues.</li><li>Coordinate with Massachusetts insurance carriers regarding claims processing and payments.</li><li>Maintain accurate billing records and documentation within <strong>CollaborateMD</strong>.</li><li>Ensure billing practices remain compliant with <strong>HIPAA</strong> standards and regulations.</li><li>Provide administrative support related to billing and reimbursement operations.</li><li>Support inbound and outbound communication with patients and insurance providers as operational needs expand.</li></ul> <h2>Required Qualifications (Non-Negotiable)</h2> <ul><li>Minimum <strong>3 years of medical billing experience</strong>, including <strong>home healthcare billing</strong>.</li><li>Demonstrated experience billing <strong>Massachusetts-based insurance carriers</strong>.</li><li>Hands-on proficiency using <strong>CollaborateMD</strong>.</li><li>Strong understanding of medical billing workflows and revenue cycle management.</li><li>Experience working independently in a remote environment.</li></ul> <h2>Preferred Qualifications</h2> <ul><li>Experience with:<ul><li>Claim submission and tracking</li><li>Payment posting</li><li>Denial management and appeals</li></ul></li><li>Knowledge of <strong>Medicare, Medicaid, and commercial insurance plans</strong>.</li><li>Prior experience in a remote healthcare support environment.</li><li>Comfortable handling patient and insurance-related calls when required.</li></ul> <h2>Ideal Candidate</h2> <ul><li>Experienced Medical Billing Specialist with strong home healthcare billing expertise.</li><li>Familiar with Massachusetts payer requirements and reimbursement processes.</li><li>Highly organized with strong attention to detail and accuracy.</li><li>Self-motivated and able to work with minimal supervision.</li><li>Strong communicator with problem-solving skills.</li><li>Adaptable and excited to grow with an evolving startup environment.</li></ul> <h2>Why Join?</h2> <ul><li>Flexible part-time schedule with growth potential.</li><li>Opportunity to help shape billing operations in a growing healthcare startup.</li><li>Fully remote work environment.</li></ul>