Home Care Billing & Payroll Specialist – Medicaid / Claims Experience Required

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TYPE OF WORK

Full Time

SALARY

USD $1400 - $1800 per month

HOURS PER WEEK

40

DATE UPDATED

Aug 14, 2026

JOB OVERVIEW

Home Care Billing & Payroll Specialist – Medicaid / Claims Experience Required

Remote | Philippines | Full-Time | Long-Term Position | U.S.-Based Home Care Agency

About Us

Zeabe is a U.S.-based non-medical Home Care Agency serving clients in Delaware.

We are looking for an experienced Home Care Billing & Payroll Specialist to take ownership of key billing, claims, accounts receivable, authorization, and payroll processes.

This is not a general virtual assistant, bookkeeping, or data-entry role.

We need someone who understands that billing does not end when a claim is submitted.

If a claim should have paid $1,000 and only $700 was received, we expect you to determine why, correct the issue, and follow it through until it is resolved.

Work Schedule
Full-time, approximately 40 hours per week
Remote from the Philippines
Night shift aligned substantially with U.S. Eastern Time business hours 8am to 4:30pm EST
Permanent, long-term position

Key Responsibilities
Home Care Billing & Claims
Finalize billing cycles and review billable visits before claims are generated.
Submit and monitor electronic healthcare claims.
Investigate rejected, denied, unpaid, partially paid, and underpaid claims.
Correct, adjust, or resubmit claims where required.
Reconcile expected reimbursement against actual payments received.
Follow outstanding claims through to final resolution.
Medicaid & VA Billing

You will work with payers including:

AmeriHealth Caritas Delaware
Highmark Health Options
Delaware First Health
U.S. Department of Veterans Affairs

Responsibilities include reviewing authorizations, hours, units, rates, service dates, payer requirements, and resolving billing discrepancies.

Previous Medicaid Managed Care or VA billing experience is highly desirable.

Accounts Receivable
Review ERA/EOB information and reconcile payments.
Monitor AR aging and unpaid claims.
Investigate underpayments and payment discrepancies.
Follow up on outstanding balances and payer issues.
Payroll
Prepare and process caregiver and office payroll.
Reconcile worked hours against payable hours.
Review rates, PTO, bonuses, adjustments, and other payroll items.
Investigate discrepancies before payroll is finalized.

Required Experience

We are looking for approximately 4+ years of relevant billing or claims experience in one or more of the following:

U.S. Home Care billing
U.S. Home Health billing
Medicaid billing
Medicare billing
U.S. healthcare revenue cycle or claims management

Home Care or Home Health billing experience is strongly preferred.

Your experience should include working claims after submission, including areas such as:

Rejections and denials
Partial payments and underpayments
Corrected or adjusted claims
ERA/EOB reconciliation
AR follow-up

If your billing experience stops once a claim has been submitted, this is probably not the right role.

Strongly Preferred Experience

Experience with any of the following will be an advantage:

Medicaid Managed Care Organizations
VA billing
Waystar or another healthcare clearinghouse
AlayaCare or another Home Care platform
Payer portals
Payroll for hourly or field-based employees
QuickBooks
BambooHR

We can train you on our specific systems. What matters most is that you already understand healthcare billing, claims investigation, and financial reconciliation.

You May Be a Great Fit If...
You notice when numbers do not reconcile.
An unexplained $37 difference bothers you until you understand it.
You enjoy investigating why something happened.
You like closing open loops.
You naturally double-check important work.
You prefer accuracy over simply getting something off your desk.
You work well independently and follow structured processes.
You take responsibility for the final outcome, not just your part of the process.
This Role Is Probably Not a Fit If...

Your experience is mainly:

General virtual assistance
Data entry
Basic bookkeeping
Accounts payable
Payroll without healthcare billing experience
Administrative support
Claim entry without responsibility for denials, AR, or payment resolution
Technical Requirements
Reliable high-speed internet
Quiet home workspace
Reliable computer
Working headset and webcam
Reliable availability during scheduled hours

Backup power and internet are strongly preferred.

What We Value

We value people who:

Own the Outcome
Get It Done
Choose Clarity Over Ambiguity
Fix the System
Stay Curious
Compensation

USD $1,400–$1,800 per month, depending on directly relevant U.S. Home Care, Medicaid, VA, billing, claims, and payroll experience.

How to Apply (Read Carefully)

We use structured systems and automation heavily, so attention to detail matters, starting with your application.

Step 1: Apply through OnlineJobs.ph

Step 2: In your application message, mention this EXACT role:

Billing & Payroll

Applications that do not follow these instructions exactly will not be considered.

SKILL REQUIREMENT
Payroll Attention to Detail Medical Billing
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