HCBS Billing Specialist

Job Description

HCBS Billing Specialist

Tutera Senior Living & Health Care

Are you a Billing Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU!

What Will You Do in This Role?

The HCBS Biller is responsible for accurately billing and submitting claims for Home and Community-Based Services (HCBS) provided to clients. This role ensures compliance with Medicaid, Medicare, and managed care organization (MCO) requirements, and performs timely follow-up on denied or unpaid claims. The HCBS Biller works closely with the community, case managers, county assistance staff and insurance companies to ensure maximum reimbursement for services rendered..

Key Responsibilities :

• Prepare and submit accurate billing claims for HCBS services to Medicaid, MCOs, and other payers.
• Verify client eligibility and authorizations prior to billing.
• Review service documentation for completeness and compliance before submitting claims.
• Track claim status and resolve denials, rejections, or payment discrepancies in a timely manner.
• Post payments and adjustments to client accounts in the billing system.
• Communicate with providers, case managers, and payers to resolve billing issues.
• Maintain accurate and organized billing records and documentation.
• Stay up-to-date with HCBS billing regulations, Medicaid rules, and payer-specific requirements.
• Generate and review reports to ensure timely claim submission and follow-up.
• Support audits and compliance reviews as needed

Do You Have What It Takes?

Why is Tutera THE Employer of Choice?

Apply today and let us show you how we are inspired by you.

Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.

Benefits

How Can You Benefit?

Job ID

2025-13288