About the Role

Ensure our organization receives timely payment for the critical care we provide.  As a Billing Coordinator, you'll manage the complete billing cycle for Medicare, Medicaid, private payors, and patient accounts - submitting accurate claims, tracking receivables, and resolving payment issues to maintain healthy cash flow that supports our healthcare mission.  This role is perfect for a detail-oriented billing professional with home health or hospice experience who understands the complexities of healthcare reimbursement.  You'll work independently to process claims, follow up on outstanding accounts, and maintain positive relationships with payors and patients - all while ensuring compliance with regulatory requirements.

What You'll Do

Process and Submit Claims

• Accurately process and bill Medicare, Medicaid, private payor, and patient claims
• Ensure all claims meet payor requirements and organizational policies
• Prepare remittances for data entry
• Maintain complete and accurate billing records
• Alert management to late or missing documents required for billing
• Complete billing tasks within established timeframes

Manage Accounts Receivable

• Monitor accounts receivable and track outstanding balances
• Follow up on overdue accounts and resubmit claims as needed
• Identify and escalate seriously overdue accounts to the billing manager
• Assist with collection activities to optimize cash flow
• Maintain organized tracking systems for all receivables
• Generate reports on billing and collection activities

Ensure Accuracy and Compliance

• Verify billing information for accuracy before submission
• Ensure compliance with Medicare, Medicaid, and private payor regulations
• Maintain confidentiality of patient and organizational information
• Follow HIPAA guidelines in all billing communications
• Stay current with changing payor requirements and policies
• Identify and resolve billing discrepancies

Communicate with Stakeholders

• Establish and maintain positive relationships with patients and payors
• Respond to billing inquiries from patients and families professionally
• Communicate with insurance companies to resolve claim issues
• Collaborate with clinical staff to obtain necessary documentation
• Work as part of an interdisciplinary team to support billing processes
• Provide excellent customer service in all interactions

What We're Looking For

Required Qualifications

• High school diploma or GED
• Minimum 1 year of healthcare billing experience
• Reliable transportation with valid automobile insurance

Preferred Qualifications

• Associate's degree
• Homecare Homebase experience (strongly preferred)
• Previous billing experience in home care or hospice care systems
• Knowledge of Medicare and Medicaid billing regulations

Essential Skills

• Strong understanding of healthcare billing and reimbursement
• Excellent organizational abilities and attention to detail
• Superior verbal and written communication skills
• Ability to work collaboratively as part of an interdisciplinary team
• Proficiency with billing software and electronic claims submission
• Self-motivated with ability to work independently
• Problem-solving skills and analytical thinking
• Discretion and commitment to patient confidentiality
• Ability to adapt to changing payor requirements

What Makes You Successful

You're detail-oriented and understand that accuracy in billing directly impacts the organization's ability to continue providing care.  You catch errors before claims are submitted, verify information thoroughly, and ensure every claim meets payor requirements the first time.  You're persistent and organized, tracking outstanding accounts systematically and following up consistently until claims are paid. You understand the complexities of healthcare billing - from Medicare regulations to private payor requirements - and you navigate these systems confidently.  You're a strong communicator who can explain billing issues clearly to patients, negotiate with insurance companies professionally, and collaborate effectively with clinical staff to obtain needed documentation.  You handle billing inquiries and disputes with patience and professionalism.  You thrive in a fast-paced environment where priorities can shift based on urgent billing needs, month-end deadlines, or payor issues.  You're adaptable, able to manage multiple accounts and deadlines while maintaining accuracy and meeting productivity standards.

Why Join Us?

This role offers the opportunity to apply your billing expertise in a meaningful healthcare setting where accurate, timely billing ensures we can continue providing quality care to our patients.  You'll work in a professional office environment with a supportive billing team.  We provide training on our specific systems and processes, including Homecare Homebase for those new to the platform.  As our organization grows, there are opportunities to expand your billing knowledge across different service lines and take on additional responsibilities.

Professional Growth:

• Training on Homecare Homebase and billing systems
• Development of expertise in home health and hospice billing
• Exposure to Medicare, Medicaid, and commercial insurance billing
• Opportunities to learn revenue cycle management
• Potential for increased responsibility as organization grows

Work Environment and Schedule

This is an office-based position with minimal travel (occasional industry meetings or training opportunities).  The role has a moderate to high degree of variability - you'll need to adapt to urgent billing needs, month-end deadlines, changing payor requirements, and documentation issues that require immediate attention.  You'll work in a professional office environment as part of the billing and finance team. The pace can be demanding, especially during month-end close and when addressing claim denials or appeals, but the work is essential to our organizational success.

Ready to Support Our Revenue Cycle?

If you're an experienced healthcare billing professional who takes pride in accuracy, understands home health or hospice reimbursement, and wants to ensure a mission-driven organization receives appropriate payment for quality care, we'd love to hear from you.

Location 

• Office Location: Jackson, MI or Bingham Farms, MI

Hours 

• 8:00 am – 5:00 pm, Monday through Friday

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.