Medical Billing Auditor Aleca Home Health FT - Remote

Role overview

Aleca Home Health is hiring an experienced Medical Billing Auditor to support its expanding operations. The role focuses on improving billing accuracy, preventing fraud, and making sure claims are submitted within required timelines.

About the company

Aleca Home Health is a fast-growing home health provider serving patients in Arizona and Washington. The organization is Medicare- and CHAP-certified and delivers care with compassion through nursing, physical therapy, occupational therapy, speech therapy, social work, and home health aide services provided in patients’ homes.

What makes this opportunity attractive

• Access to broad medical, dental, vision, life insurance, PTO, and paid holiday coverage
• 401(k) plan with employer match
• Support for professional growth through tuition reimbursement and tuition assistance
• Company-provided IT equipment to help you perform effectively
• Employee referral bonus program
• Flexible scheduling
• Work environment built around teamwork, optimism, customer service, and best practices
• Inclusive workplace that values different backgrounds and contributions

Key duties

• Review, process, and audit primary and secondary insurance verifications and re-verifications for Medicare, private, and managed care patients using paper-based or electronic methods according to payer rules
• Handle pre-billing audits and keep daily client lists and audit records current in AR or related financial systems
• Maintain accurate patient accounts, including monthly statements and collections activity
• Investigate and resolve EOB denials, rejections, and other outstanding account issues
• Record cash receipts and post adjustments when needed
• Obtain and track initial as well as ongoing insurance authorizations
• Review contracts to confirm payment terms and insurance requirements
• Support the monthly triple-check process
• Help maintain payer setup in the AR platform
• Work with managers and team members to collect or confirm billing details
• Communicate with patients and family members regarding account status and patient information

Requirements

• At least 2 years of experience in healthcare billing and collections, including Medicare Part A and Part B, commercial insurance, Medicaid, and coinsurance
• Prior home health billing experience is required
• Strong computer proficiency, including familiarity with billing systems and Microsoft Office tools such as Word, Excel, Outlook, and PowerPoint
• Experience with Waystar and WellSky is preferred

Employment details

This is a full-time remote position based out of Nashville, Tennessee.

Equal opportunity and accommodations

The employer considers applicants based on ability and does not discriminate on the basis of race, color, religion, sex, national origin, age, sexual orientation, gender identity, or disability. Reasonable accommodations are available for qualified candidates with disabilities during the recruitment process. Requests should be sent to careers@alumus.com at least 24 hours in advance whenever possible.

Compensation

Pay is listed at USD 17.00 to USD 20.00 per hour.