Job Description

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!