Medical Biller / Claims Specialist In-Home Care

Job Description

Job DescriptionMedical Biller / Claims Specialist – In-Home Care
Pay: $25.00–$27.00 per hour
Location: Brea, CA (Hybrid – 2 days in office per week)
Schedule: Monday–Friday, 8:00 AM–5:00 PM
Employment Type: Full-Time, Hourly (Non-Exempt)
Position Overview Medica Talent Group is seeking a detail-oriented Medical Biller / Claims Specialist to support billing, claims processing, and administrative operations for our In-Home Care division. This position will primarily focus on reviewing, preparing, and submitting healthcare claims through designated provider portals. The ideal candidate has experience in medical billing or healthcare claims processing and can manage high-volume transactions accurately and efficiently.
Key Responsibilities

• Review, prepare, and manually submit healthcare claims through designated provider portals.
• Verify caregiver visit records, hours worked, and authorized services to ensure billing accuracy.
• Identify and resolve billing discrepancies, missing information, and claim errors.
• Research denied or rejected claims and assist with corrections and resubmissions.
• Maintain accurate records in AxisCare, Avionté, and other claims processing systems.
• Track claim submissions, outstanding balances, and processing statuses.
• Coordinate with internal teams and healthcare partners to resolve billing issues.
• Assist with claims reconciliation, reporting, and billing documentation.
• Provide occasional administrative support, including employee timekeeping entries in Avionté and direct deposit data entry.
• Support additional back-office and in-home care administrative tasks as needed.

Qualifications

• 2–3 years of experience in medical billing, claims processing, or healthcare revenue cycle operations preferred.
• Experience with Medicare, Medicaid/Medi-Cal, managed care, or PACE programs preferred.
• Knowledge of medical claims submission, billing verification, and denial resolution.
• Familiarity with CMS billing requirements and CPT/HCPCS codes preferred.
• Proficiency in Microsoft Excel and electronic data entry.
• Experience using healthcare provider portals and billing systems.
• Experience with AxisCare, Avionté, or similar systems is a plus.
• Strong attention to detail, organizational skills, and ability to manage high-volume workloads.
• Ability to work independently and collaborate with multiple departments.

Work Schedule & Location This is a full-time, hourly position with a hybrid schedule requiring two days per week in our Brea office. Standard working hours are Monday through Friday, 8:00 AM to 5:00 PM.
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