REVENUE CYCLE SPECIALIST (HOME HEALTH & HOSPICE)- PRE BILLING EXPERT | PERMANENT REMOTE JOB
Revenue Cycle Specialist (Home Health / Hospice) – Pre-Billing Expert
We are looking for a highly detail-oriented and proactive Revenue Cycle Specialist to join our Home Health and/or Hospice team. This is a critical role in protecting revenue integrity, ensuring clean claim submission, and preventing denials before they happen.
If you thrive in a fast-paced, compliance-driven environment and have a sharp eye for billing accuracy, this role is for you.
Pre-billing experience is REQUIRED and NON-NEGOTIABLE.
We need someone who doesn’t just process claims—but ensures they are right the first time.
What You’ll DoPre-Billing Excellence (Core Responsibility)
- Perform thorough pre-bill audits for Medicare, Managed Care, and Commercial claims
- Ensure complete, accurate, and compliant documentation before claims submission
- Identify, investigate, and resolve discrepancies prior to billing
- Validate clinical documentation alignment with reimbursement requirements
- Apply payer-specific rules and regulatory guidelines with precision
- Maintain a strong “clean claim first-pass” process through rigorous pre-billing controls
- Monitor AR to ensure timely and accurate reimbursement
- Analyze denied, rejected, and underpaid claims for resolution
- Prepare high-quality appeal documentation supported by strong evidence
- Identify denial trends and proactively recommend prevention strategies
- Reconcile payments and ensure accurate posting
- Follow up consistently with payers on outstanding balances and claim status
- Stay current on Medicare, Managed Care, and Commercial billing regulations
- Partner with clinical, billing, and operations teams to improve documentation quality
- Support internal audits and compliance initiatives
- Drive process improvements that reduce errors and strengthen revenue cycle performance
- Minimum 2 years experience in Home Health Revenue Cycle Management
- Mandatory hands-on pre-billing experience
- Strong background in Home Health and/or Hospice billing workflows
- Experience with EHR/EMR systems such as Kinnser, KanTime, or Alora Plus
- Familiarity with clearinghouse platforms such as Waystar or Inovalon
- Strong knowledge of:
- Insurance claims processing
- Medicare, Managed Care, and Commercial billing
- Healthcare compliance and regulatory standards
- Denial management and resolution
- Appeals preparation and submission
- Payment posting and reconciliation
- High-accuracy claims review and validation
- Exceptional attention to detail
- Strong analytical and critical thinking skills
- Excellent organizational and time management abilities
- Ability to manage multiple priorities under pressure
- Strong communication and cross-functional collaboration skills
- A strong commitment to accuracy, compliance, and continuous improvement
- Permanent work-from-home setup
- Competitive ₱40,000 monthly salary
- Retention and performance bonuses
- Company-provided equipment
- HMO coverage
- Strong career growth opportunities
- Supportive, structured, and process-driven team culture
Apply now and help us ensure every claim is clean, compliant, and correctly paid the first time.
Send your resume to: aalvior@cliniqon.com
Benefits
- Additional leave
- Health insurance
- Life insurance
- Opportunities for promotion
- Paid training
- Pay raise
- Promotion to permanent employee
- Work from home
- Do you have at least 2 years of experience in Home Health Revenue Cycle Management?
- Do you have hands-on experience performing pre-bill audits or pre-billing reviews for Home Health and/or Hospice claims?
- Have you worked with Home Health EMR/EHR systems such as Kinnser (WellSky), KanTime, or Alora Plus?
- Do you have experience managing claim denials, appeals, and accounts receivable (AR) for Medicare, Managed Care, or Commercial insurance claims?
- Are you comfortable accepting a permanent work-from-home position with a salary of ₱40,000 per month?
