Job Description
Job Description
Description
Key Responsibilities & Environment
Perform full end‑to‑end billing and follow‑up for Home Health and Hospice services
Work primarily in MatrixCare (also referred to as Care Matrix) for Home Health & Hospice billing
Navigate EPIC regularly due to the high volume of referrals originating from the hospital system
Submit and manage claims across multiple payer portals, with Medicare comprising the majority of the patient population
Handle a manageable patient volume of approximately 100 patients per month
Take full ownership of billing operations, including:
Claim submission
Payment posting
Denial management
Follow‑up and resolution
Transition & Expectations
Support the re‑establishment of in‑house billing workflows as the program transitions from an outsourced model
Adapt to a learning curve as processes, workflows, and internal handoffs are newly being rebuilt
Collaborate with clinical and operational teams to ensure accurate and timely billing
Job Description:
Hospital Billing and Follow-up ensures the submission of timely and clean Inpatient/Outpatient claims to the various government/non-government payers and takes the appropriate action to resolve claim issues in order to accelerate cash collections.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
Submit Inpatient/Outpatient electronic and paper claims (UB-04 and 1500) to the appropriate government and non-government payers.
Understand how to resolve Billing errors and/or warnings that are identified in the Patient Accounting and Billing System.
Keep abreast of payer-specific and government requirements and regulations.
Ensures claim information is complete and accurate in order to accelerate cash collections.
Analyze information contained within the Patient Accounting and Billing system to make decisions on how to proceed with the billing of an account.
Processes rejections by correcting any billing error and resubmitting claims to government and non-government payers.
Place unbillable claims on hold and properly communicate to various Hospital departments the information needed to accurately bill.
Process late charge claims in the event that charges are not entered in a timely fashion by Hospital Departments.
Submit corrected claims in the event that the original claim information has changed for various reasons.
Perform the billing of complex scenarios such as interim, self-audit, combined, and split billing etc.
Limit the number of unreleased claims by reviewing all imported claims and either billing or holding the claim for further review.
Meet Billing productivity and quality requirements as developed by Leadership.
Measured on high production levels, quality of work output, in compliance with established CRH’s policy and standards.
Record or generate revenue by gathering and processing information that impacts the patient revenue process.
Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met.
Keep abreast of payer-specific and government requirements and regulations
Follow up on unprocessed or unpaid claims until a claims resolution is achieved
Generates letters to insurance or patients as needed in order to resolve unpaid claim issues.
Works on and maintains spreadsheets by sorting/adding pertinent data
Analyze information contained within the billing systems to make decisions on how to proceed with the account.
Work independently and has the ability to make decisions relative to individual work activities
Identify comments in the billing systems by using initials and using approved abbreviations for universal understanding
Keep documentation clear, concise, and to the point, while including enough information for a clear understanding of the work performed and actions needed
Create appropriate documentation, correspondence, emails, etc. and ensure that they are scanned to the proper account for accurate documentation
Read, understand, and explain benefits from all payers to coworkers, physicians, and patients
Make phone calls, use the internet, and send mail to payers for follow-up on unprocessed claims, incorrectly processed claims, or claims in question
Develop relationships with customers/patients/co-workers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction
Post accurate adjustments as appropriate per billing policies and procedures, payer explanation of benefits, and the management directive
Maintain work procedures pertinent to the job assignment
Accountable for individual work activities
Resolve questions that arise regarding correct charging and/or other concerns regarding services provided
Complete cross-training, as deemed necessary by management, to ensure efficient department operations
Report potential or identified problems with systems, payers, and processes to the manager in a timely manner.
Complete special project assignments in a timely fashion
Follows HIPAA guidelines in order to maintain strict confidentiality of all patient financial and hospital information at all times.
Perform other duties as assigned
Skills
Home Health, Hospice, Billing, Medicare
Top Skills Details
Home Health, Hospice,Billing
Additional Skills & Qualifications
EMR Experience
Medicare as most patients are Medicare patients
Strong computer navigation skills
Ability to think independently and problem solve
Experience Level
Intermediate Level
Job Type & Location
This is a Contract to Hire position based out of Chesapeake, VA.
Pay and Benefits
The pay range for this position is $20.00 - $22.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Chesapeake,VA.
Application Deadline
This position is anticipated to close on Jan 16, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.