Billing & Collections Specialist

Caregiver's Home Solutions -

Billing & Collections Specialist – Home Care Agency

Caregiver’s Home Solutions

Location: Shelton, CT (On-site)
Schedule: Full-time | Monday – Friday | 8:30 AM – 5:00 PM
Pay Range: $20.00 – $23.00/hour

About Caregiver’s Home Solutions (CHS)

At CHS, we believe in one mission: Be Safe. Be Well. Be Home.
Since 2007, our family-owned homecare agency has proudly served Connecticut’s seniors and families with heart and hustle. Our Shelton office is a hub of collaboration and compassion. (We also have a free 24/7 gym, discounted childcare, an in-building restaurant, and free parking — just saying.)

Position Overview

We're seeking a highly organized, tech-savvy, detail-obsessed, experienced Billing Specialist to join our back-office team. This role is pivotal in ensuring timely, accurate invoices and billing across a range of programs — from veterans to private pay to state clients. If you thrive in spreadsheets, love detective work, and get a little thrill from a zeroed-out AR aging report, we want to hear from you.

Key Responsibilities

Billing & Invoicing:

• Manually confirm caregiver shifts as needed in Generations to prepare accurate billing files.

• Serve as primary biller for non-Medicaid waiver clients across various payer sources, including:

  • Private-pay clients, including those in need of Long-Term Care Insurance claim submission support.

  • DSS clients via their Social Work Services / Protective Services for the Elderly (PSE) programs.

  • Respite clients via the Agencies on Aging and the Alzheimer’s Association

  • Veterans via the VA Community Care Network

  • Respite clients via CMS GUIDE Model partnerships (e.g., PocketRN)

• Issue timely invoices in:

  • QuickBooks for private-pay and third-party clients

  • VA’s dedicated billing portal for veteran clients

• Act as back-up biller for Medicaid Waiver clients via:

  • Sandata (CT's Electronic Visit Verification system)

  • DSSMaps portal

Reporting, Collections & AR Management

• Generate and distribute weekly Excel reports of open invoices.

• Create additional reports for billing trends and management requests.

• Track and maintain current accounts receivable balances.

• Follow up with clients or payers to collect outstanding payments and resolve billing discrepancies.

• Monitor and update client service authorizations and eligibility statuses monthly.

• Proactively foster relationships and communicate clearly with referral sources to resolve missing authorizations or eligibility issues.

Cross-Functional Collaboration:

• Work closely with CHS’s Medicaid billing lead on project-based needs.

• Work closely with CHS’s real-time monitoring lead on Electronic Visit Verification (EVV) adherence to ensure accurate and timely billing.

• Partner with the Client Care Team to:

  • Track and document Interruptions of Service (IOS)

  • Ensure schedules reflect accurate service delivery within authorization limits

· Perform other duties as they may arise.

Ideal Candidate Profile

Must-Haves:

• 3–5 years of billing experience (Sandata experience strongly preferred)

• Familiarity with QuickBooks and Excel

• Strong organizational skills with excellent follow-through

• Experience in home care, healthcare, or related service industry

• Tech-comfortable and willing to learn multiple portals/platforms

• Reliable, discreet, detail-driven, and deadline-focused

Bonus Points For:

• Experience with Generations, VA billing portals, or GUIDE Model partners

• Bilingual fluency (English/Spanish for ease of communicating with CHS caregivers)

Perks of the Position

• Office perks: free gym, on-site childcare discounts, in-building restaurant, and free bi-weekly breakfast

• Central location with easy access to Route 8

• Team that values your voice, respects your hustle, and supports your growth

Behind every invoice is a family counting on our care.
If that resonates with you, this job might just be the perfect fit.

Apply today! Make an impact tomorrow!