Home Based Fssa Jobs (NOW HIRING)

Position Title: Billing Specialist Home Care Agency
Location: Fishers, Indiana
Employment Type: Full-Time

About Us
We are a growing, client-centered home care agency committed to delivering high-quality services while maintaining full compliance with Indiana Medicaid, EVV, and state regulations. We are seeking an experienced and detail-oriented Billing Specialist to manage all aspects of home care billing and ensure accurate, timely reimbursement.

Position Summary
The Billing Specialist will be responsible for end-to-end billing operations, including EVV validation, Medicaid and private pay billing, claim submission, payment posting, reconciliations, appeals, and issue resolution. This role is critical to maintaining agency finance flow, compliance, and operational excellence.

Key Responsibilities

• Review, validate, and reconcile EVV data to ensure compliance prior to billing
• Prepare and submit claims to Indiana Medicaid, waiver programs, MCOs, and private pay sources
• Ensure all services billed are supported by authorizations, care plans, and EVV records
• Monitor claim status, follow up on rejections, denials, and unpaid claims
• Correct billing errors and resubmit claims as needed
• Post payments, adjustments, and remittances accurately
• Reconcile billing with EVVs
• Communicate with Medicaid, payers, clearinghouses, and internal staff regarding billing issues
• Maintain compliance with Indiana FSSA, Medicaid waiver requirements, and EVV regulations
• Generate billing, aging, and revenue reports for management
• Maintain strict confidentiality and HIPAA compliance

Qualifications

• Minimum 1 year of home care or healthcare billing experience (Indiana Medicaid strongly preferred)
• Hands-on experience with EVV systems (e.g., AxisCare, Sandata, or similar)
• Strong knowledge of Indiana Medicaid waiver programs and home care billing requirements
• Understanding of authorizations, service units, modifiers, and compliance standards
• High attention to detail and strong analytical skills
• Excellent organization, communication, and follow-up skills
• Proficiency with billing software, EHR systems, and Microsoft Office

What We Offer

• Competitive compensation based on experience
• Stable, supportive work environment
• Opportunity to grow with an expanding home care agency

How to Apply
Qualified candidates should submit a resume highlighting home care and EVV billing experience.