Payment Processor

Key Responsibilities

• Process and post all incoming payments (Medicaid/Medicare reimbursements, private pay, long-term care insurance, electronic deposits, and checks).

• Review remittance advice (RA/EOB) for accuracy, proper coding, and adjustments related to homecare services.

• Reconcile daily payment batches and ensure alignment with client accounts and billing records.

• Investigate and resolve payment discrepancies, denials, or underpayments from insurance or government payers.

• Communicate with insurance companies, case managers, and clients regarding payment issues or missing information.

• Prepare and deliver daily/weekly/monthly payment summaries to the Billing Manager.

• Maintain accurate and confidential financial records in compliance with HIPAA and homecare industry standards.

• Assist with billing follow-ups and support authorization verification when needed.

• Collaborate with the scheduling and care coordination teams to validate service dates and documentation.

• Contribute to process improvements to streamline homecare payment workflows.