Position: Dedicated Biller – Home Care & Financial Management Services

Experienced Home Health Care Biller
Robland Home Health Care & Aspen FMS

Position: Dedicated Biller – Home Health Care & FMS
Employer: Robland Home Health Care / Aspen FMS
Experience Required: Must be already trained and experienced in home health care billing
Work Hours: Monday through Friday, business hours (Central Time)
Work Type: Remote / Virtual
Role Focus: Full-cycle billing under MnDHS guidelines, Medical Assistance (MA), waivered services, and MCOs

About Us
Robland Home Health Care and Aspen FMS provide in-home care and Financial Management Services (FMS) to Minnesotans enrolled in programs administered through the Minnesota Department of Human Services (MnDHS). Accurate, on-time billing is how our caregivers get paid and how the company stays healthy. We’re hiring an experienced biller to take full ownership of this function.
Role Overview
This is not an entry-level or trainee role. We are looking for a biller who already knows home health care billing inside and out — specifically billing under MnDHS guidelines, Medical Assistance (MA), waivered services, and managed care organizations (MCOs). You should be able to hit the ground running: submitting claims in MN–ITS, verifying authorizations, reconciling remittance advices, and working denials without step-by-step hand-holding.
You will own the full billing cycle for both Robland Home Health Care and Aspen FMS. This role reports directly to leadership and works closely with intake, scheduling, and payroll. Because billing accuracy drives revenue and compliance, this is one of the most trusted seats in the company.
Key Responsibilities
Claim Submission
• Submit clean claims to MN–ITS, MA, waivered services, and applicable MCOs on a consistent weekly / bi-weekly cycle.
• Verify that each claim matches the service authorization, documented hours, correct service codes and modifiers, and participant eligibility for the date(s) of service.
• Stay ahead of MnDHS timely-filing deadlines — no missed windows.
• Maintain organized, auditable billing records for every claim submitted.
Authorization & Eligibility
• Verify participant eligibility and active service authorizations before billing.
• Track authorization units, start/end dates, and remaining balances; flag authorizations about to expire or run out.
• Coordinate with intake to ensure new authorizations are captured and entered before services are billed.
Denials, Rejections & AR Follow-up
• Read and reconcile remittance advices (RAs / 835s); identify denials, rejections, and underpayments.
• Diagnose root causes — auth mismatches, documentation gaps, coding issues, eligibility lapses — correct and resubmit within filing windows.
• Maintain a denial log, surface trends, and fix recurring issues at the source rather than re-billing the same problem.
• Keep accounts receivable clean and well-aged; nothing slips past recoverable windows.
Compliance & Documentation
• Ensure all billed services are supported by compliant documentation (timesheets, visit notes, EVV records, care plans) before submission.
• Follow MnDHS billing guidelines, MA policies, and FMS program rules exactly as written.
• Maintain strict HIPAA compliance and confidentiality on all participant, employee, and payer information.
• Pull records quickly for internal or external audits.
Reporting & Communication
• Provide weekly billing reports to leadership: claims submitted, paid, pending, denied, and aging AR.
• Flag revenue risks early — missed windows, repeated denials, documentation gaps, auth issues.
• Communicate clearly with intake, scheduling, and payroll when billing issues trace back to their workflows.
• Respond to MnDHS, MCO, and payer inquiries professionally and on time.
Required Qualifications
• Home Health Care Billing Experience: 2+ years of hands-on billing experience in home health care, home care, PCA, CFSS, waivered services, or a similar Minnesota-based care setting. This is non-negotiable — applicants without direct home care billing experience will not be considered.
• MnDHS / MN–ITS Proficiency: Direct experience submitting claims through MN–ITS under MnDHS guidelines. You know the system, the service codes, and the rules without needing to be taught them.
• Payer Knowledge: Working knowledge of Medical Assistance (MA), waiver programs, and Minnesota managed care organizations (UCare, Blue Plus, Medica, HealthPartners, etc.).
• Denial Management: Proven ability to read 835s / remittance advices, diagnose denials, and rework claims within timely-filing windows.
• EVV Familiarity: Understands Electronic Visit Verification and how EVV data flows into claims.
• Detail-Oriented: Obsessive accuracy with numbers, codes, dates, and documentation. Small errors create large problems in this role.
• Self-Directed: Able to own the billing function independently, set your own cadence, and hit deadlines without being managed minute-to-minute.
• Technology: Comfortable with billing / EHR software, payer portals, Excel / Google Sheets, and payroll coordination.
• Reliability & Discretion: Consistent, on-time performance and full confidentiality on sensitive participant, payroll, and financial information.
• Home Office Setup: Quiet, private workspace; reliable high-speed internet; a working computer; and a dependable backup plan.
Preferred (Nice-to-Have)
• Prior experience billing for an FMS (Financial Management Services) agency.
• CPB, CPC, or other billing / coding certifications.
• Experience supervising or training other billers.
• Experience cleaning up a billing backlog or rebuilding a billing process from the ground up.
What Success Looks Like
• Clean claims go out on time, every cycle — zero missed timely-filing deadlines.
• Denial rate is low and trending down; recurring denial reasons get fixed at the source.
• AR stays healthy and well-aged; nothing quietly slips past recoverable windows.
• Leadership has clear weekly visibility into billing performance and revenue risk.
• Audits are handled calmly because the documentation trail is already clean.
Compensation & Schedule
Schedule: Monday – Friday, standard business hours (Central Time)
Location: Fully remote
Pay: [Rate to be discussed based on experience]
Start Date: As soon as possible for the right candidate
How to Apply
To apply, please submit the following:
• An updated resume or CV specifically highlighting your home health care billing experience — agencies, years, programs billed (MA, waivers, PCA, CFSS, etc.), and systems used (MN–ITS, EHRs, clearinghouses).
• A short cover letter (3–5 sentences) describing the billing setup you’ve owned before and what you’re proud of in your work — clean claim rate, denial turnaround, backlog cleanup, etc.
• Any relevant certifications (CPB, CPC, etc.).
• Your available start date and confirmation that you can commit to a consistent weekday schedule.
Please do not apply if you do not already have direct home health care billing experience. We’re looking for someone who can walk in, plug in, and run the billing function with confidence from day one.

Robland Home Health Care • Aspen FMS