Billing Manager

Company DescriptionProactive Medical Billing & Coding LLC is a trusted leader in revenue management solutions tailored for healthcare practices. We specialize in medical billing, coding, and revenue cycle management, alleviating administrative burdens and maximizing financial performance. Utilizing advanced technology and adhering to industry regulations, we deliver seamless integration with practices to optimize reimbursement. Our comprehensive services include billing, eligibility verification, denial management, compliance, and transparent reporting, all designed to drive financial success.Role DescriptionWe are seeking an experienced Medical Biller who specializes in Home Health Agency billing and is well-versed in handling Medi-Cal, PPO, HMO, and other commercial insurance plans.The ideal candidate should have strong knowledge of authorizations, eligibility verification, claims submission, and denial management — with the ability to ensure timely and accurate reimbursement for all payors.Key Responsibilities:Manage end-to-end billing cycle for Home Health Agencies (Medi-Cal, PPO, HMO, and commercial insurances).Perform eligibility and benefits verification for new and existing patients.Obtain prior authorizations for all required services.Prepare, review, and submit clean claims through clearinghouses or payer portals.Handle denial management, re-submissions, and appeals efficiently.Maintain accurate billing records and follow up on outstanding claims.Ensure compliance with HIPAA and all payer billing regulations.Qualifications:Minimum 3+ years of experience in medical billing (Home Health preferred).Expertise in Medi-Cal, PPO, HMO, and commercial insurance billing processes.Strong understanding of authorization, eligibility, and denial management workflows.Proficiency with billing software and payer portals (Availity, Office Ally, etc.).Excellent communication and organizational skills.Why Join us:Competitive salary based on experience.Remote-friendly work environment.Opportunity to grow with a fast-expanding healthcare billing team.How to Apply:If you meet the above requirements and are ready to bring your expertise to a professional, growth-driven environment — please send your resume or LinkedIn profile to Info@proactivembc.com with the subject line “Medical Biller – Home Health”