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TYPE OF WORK
Full Time
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SALARY
700-1100/month
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HOURS PER WEEK
TBD
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DATE UPDATED
Oct 12, 2026
IMPORTANT — READ BEFORE APPLYING
DO NOT APPLY UNLESS YOU HAVE EXPERIENCE IN ALL THREE OF THE FOLLOWING:
- HOME CARE BILLING: Hands-on experience submitting insurance claims through Availity, Compass, and other payer portals.
- PAYROLL:Experience reviewing timesheets and processing payroll, preferably through Paychex.
- EHR & COMPLIANCE: Experience with home care EHR systems, HHAeXchange, EVV clock-in/clock-out verification, exception management, and compliance requirements.
A RESUME IS REQUIRED TO BE CONSIDERED.
Applications submitted without a resume will not be considered.
Your resume MUST clearly include:
1. The full name of every home care or home health agency you have worked for.
2. Your specific job title and responsibilities at each agency.
3. Your actual experience with home care billing, payroll, HHAeXchange, EHR systems, and compliance.
4. The dates you worked for each employer.
This is a long term position with potential to grow within the company.
Do not list only a state or city as your work experience. You must name the actual agency or company you worked for.
We are looking for someone with verifiable, hands-on experience who can independently manage billing, payroll, and EHR/EVV compliance. Please do not apply if you do not meet ALL the required qualifications.
Applications that do not follow these instructions will not be considered.
Key Responsibilities
1. Insurance Billing & Claims Management
Submit claims through Availity, Compass, and other insurance payer portals.
Handle billing for multiple insurance companies and Medicaid plans.
Verify claims are submitted accurately and on time.
Monitor claim statuses and follow up on pending, rejected, or denied claims.
Correct billing errors and resubmit claims when necessary.
Track outstanding claims and unpaid reimbursements.
Maintain organized billing records and provide regular updates on billing status.
2. Caregiver Timesheets & EVV Compliance
Review caregiver timesheets and service hours before billing.
Verify that reported hours match authorized services and scheduled shifts.
Manage HHAeXchange and review caregiver clock-in and clock-out records.
Identify and correct EVV exceptions, missed clock-ins/outs, and time discrepancies.
Follow up with caregivers or office staff to resolve discrepancies before claims are submitted.
Ensure billing is accurate and supported by the required documentation.
3. Biweekly Payroll
Prepare and process biweekly payroll through Paychex.
Verify caregiver hours and approved timesheets before payroll is processed.
Reconcile payroll hours with approved service records.
Identify discrepancies before payroll is finalized.
Maintain accurate payroll records and communicate any issues promptly.
4. Administrative & Reporting Duties
Maintain organized client, caregiver, billing, and payroll records.
Track billing submissions, denials, corrections, and outstanding payments.
Meet weekly billing deadlines and biweekly payroll deadlines.
Communicate regularly with the agency owner regarding completed tasks and unresolved issues.
Handle confidential client, caregiver, and payroll information professionally.
Please include the following in your application:
A summary of your previous experience working with a home care agency.
The insurance billing portals you have personally used, including Availity and Compass, if applicable.
A description of your HHAeXchange experience. Have you managed EVV exceptions, missed clock-ins/outs, and caregiver time corrections?
Your experience with Paychex or other payroll platforms.
The number of years you have worked in home care billing and payroll.
Your expected hourly rate in USD.
Your availability and preferred working hours.
