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Home Health Billing Jobs (NOW HIRING)

Billing Specialist

Oldsmar, FL ยท Remote

$19.75 - $26.50/hr

Pinnacle Home Care, Florida's largest independent Medicare-certified home health provider, has been ... Partner with Clinical Intake, Coding, QA, and Clinical Ops to ensure billable readiness: signed ...

ABA Billing SpecialistOwen Health Care Inc.Location: Vauxhall, NJEmployment Type: Full-Time or Part-TimeHelp Drive Quality Care Behind the ScenesAre you an experienced ABA or Behavioral Health ...

Mgr, Revenue Cycle

Cincinnati, OH ยท On-site

$81K - $104K/yr

Primary Location South Campus Department Home Health Billing Operations Shift Day (United States of America) Schedule Full time Weekly Hours 40 FTE 1 Employee Status Regular *Expected Starting Pay ...

Primary Location South Campus Department Home Health Billing Operations Shift Day (United States of America) Schedule Full time Weekly Hours 40 FTE 1 Employee Status Regular *Expected Starting Pay ...

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Home Health Billing information

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How much do home health billing jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for home health billing in the United States is $25.14, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.64 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a home health billing specialist?

To thrive as a Home Health Billing specialist, you need a solid understanding of medical billing, coding standards (such as ICD-10 and CPT), and knowledge of Medicare, Medicaid, and private insurance requirements, often supported by a certification in medical billing or coding. Familiarity with home health billing software, electronic health record (EHR) systems, and payer portals is typically required. Attention to detail, problem-solving abilities, and effective communication are essential soft skills for resolving billing discrepancies and working with healthcare providers. These skills are critical to ensure accurate claim submissions, minimize denials, and maintain timely reimbursement for home health agencies.

What is home health billing?

Home health billing refers to the process of submitting and managing claims for services provided by home health agencies to patients in their homes. It involves verifying insurance coverage, coding medical services, preparing and submitting claims to Medicare, Medicaid, or private insurers, and following up on payments and denials. Accurate home health billing ensures agencies are properly reimbursed for their services and remain compliant with healthcare regulations. The process requires knowledge of payer requirements, coding systems like ICD-10 and CPT, and regulations specific to home health care.

What are some common challenges faced by professionals in home health billing, and how can they be addressed?

Home Health Billing professionals often encounter challenges such as navigating complex insurance requirements, ensuring accurate and timely claim submissions, and staying current with changing regulations. Addressing these challenges requires strong attention to detail, proactive communication with clinicians and payers, and ongoing professional development to understand regulatory updates. Working closely with interdisciplinary teams, such as nursing staff and case managers, also helps ensure accurate documentation and supports efficient billing processes.
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Infographic showing various Home Health Billing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $52,300 per year, or $25.1 per hour.

Billing Specialist

Pinnacle Home Care

Oldsmar, FL โ€ข Remote

$19.75 - $26.50/hr

Full-time

Re-posted 15 days ago


Job description

Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most –– at home.


Pinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Reimbursement Analyst to join our award-winning team.


Key Responsibilities

  • Submit and manage Medicare home health claims in DDE FISS, including NOAs and final claims under PDGM.
  • Work RTP, T, S, and R status queues daily - research, correct, and resubmit until paid.
  • Verify eligibility and benefits using 270/271 or payer portals and resolve HETS eligibility mismatches.
  • Track and resolve reason codes and edits (e.g., U532F, 38107, 34931, facility/provider edits, duplicate and overlap issues).
  • Reconcile remittances and post payments and adjustments from 835s - escalate variances and denials.
  • Manage Managed Care and commercial claims through payer portals and clearinghouses - correct and resubmit as needed.
  • Partner with Clinical Intake, Coding, QA, and Clinical Ops to ensure billable readiness: signed orders, OASIS locked, visit notes complete, therapy thresholds if applicable, homebound and medical necessity documentation.
  • Monitor and prevent late NOAs - document cause codes and request exceptions when appropriate.
  • Work denials and ADRs - compile records, create index sheets, and submit timely responses.
  • Maintain organized worklists, aging, and follow up notes with clear next actions.
  • Protect PHI and follow CMS guidance, payer policies, and internal SOPs.



Benefits:

Why Choose Pinnacle?

  • Personalized, One-on-One Care: Help patients heal and regain their independence by delivering individualized care in the comfort of their homes.
  • Growth & Stability: Over two decades as Florida’s largest independent home health agency.
  • Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement.
  • Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
  • Recognized Excellence: Ranked as a USA Today Top Workplace.
  • Flexible Scheduling: Enjoy a schedule that aligns with your personal priorities.
  • Supportive & Fun Culture: Join a collaborative, forward-thinking team that values both professional excellence and personal fulfillment.


Pinnacle promotes an inclusive environment and is an equal opportunity employer. We prohibit discrimination or harassment based on race, religion, age, gender, national origin, disability, veteran status, or other legally protected characteristics.


Be part of a company that empowers clinicians to make a difference in the lives of over 10,000 patients across Florida every day. Apply now!


Requirements:

Qualifications

  • 3+ years of home health billing experience with hands-on DDE FISS.
  • Strong knowledge of PDGM billing, NOA rules, LUPA, PEP, outlier logic, condition and occurrence codes, revenue codes, and TOBs 322/329.
  • Fluency with RTP research and correction in DDE - comfortable with HIQA/HIQH inquiry and claim history.
  • Experience with EDI transactions: 837I, 835, 276/277.
  • Working knowledge of MACs (CGS, Palmetto, Noridian or equivalent) and major Managed Care portals.
  • Detail orientation, urgency, and pride in clean claim submission.
  • Clear written documentation on every account touched.



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About Pinnacle Home Care

Sourced by ZipRecruiter

Pinnacle Home Care is a Medicare Certified and Florida Licensed full-service clinically owned and operated health care company, led by professionals who are passionate about delivering Exceptional Outcomes and quality care Beyond Expectation to patients, referral partners, staff and the communities that we serve. At Pinnacle Home Care we believe in Exceptional Outcomes which is why our patients receive exceptional customized home care services in the comfort of their home.

Industry

Health and personal care stores

Company size

501 - 1,000 Employees

Headquarters location

Oldsmar, FL, US

Year founded

2003