Billing & Collections Specialist

Billing & Collections Specialist – Home Care Agency

Caregiver’s Home Solutions

Location: Shelton, CT (On-site)

Schedule: Full-time | Monday – Friday | 8:30 AM – 5:00 PM

Pay Range: $20.00 – $23.00/hour

At CHS, we believe in one mission:
Be Safe. Be Well. Be Home. Since 2007, our family-owned homecare agency has proudly served Connecticut’s seniors and families with heart and hustle. Our Shelton office is a hub of collaboration and compassion. (We also have a free 24/7 gym, discounted childcare, an in-building restaurant, and free parking — just saying.)

We're seeking a highly organized, tech-savvy, detail-obsessed, experienced Billing Specialist to join our back-office team. This role is pivotal in ensuring timely, accurate invoices and billing across a range of programs — from veterans to private pay to state clients. If you thrive in spreadsheets, love detective work, and get a little thrill from a zeroed-out AR aging report, we want to hear from you.

• Manually confirm caregiver shifts as needed in Generations to prepare accurate billing files.
• Serve as primary biller for non-Medicaid waiver clients across various payer sources, including:
• Private-pay clients, including those in need of Long-Term Care Insurance claim submission support.
• DSS clients via their Social Work Services / Protective Services for the Elderly (PSE) programs.
• Respite clients via the Agencies on Aging and the Alzheimer’s Association.
• Veterans via the VA Community Care Network.
• Respite clients via CMS GUIDE Model partnerships (e.g., Pocket
  
  RN).
• Issue timely invoices in:
• Quick Books for private-pay and third-party clients.
• VA’s dedicated billing portal for veteran clients.
• Act as back-up biller for Medicaid Waiver clients via:
• Sandata (CT's Electronic Visit Verification system).
• DSSMaps portal.

• Generate and distribute weekly Excel reports of open invoices.
• Create additional reports for billing trends and management requests.
• Track and maintain current accounts receivable balances.
• Follow up with clients or payers to collect outstanding payments and resolve billing discrepancies.
• Monitor and update client service authorizations and eligibility statuses monthly.
• Proactively foster relationships and communicate clearly with referral sources to resolve missing authorizations or eligibility issues.

• Work closely with CHS’s Medicaid billing lead on project-based needs.
• Work closely with CHS’s real-time monitoring lead on Electronic Visit Verification (EVV) adherence to ensure accurate and timely billing.
• Partner with the Client Care Team to:
• Track and document Interruptions of Service (IOS).
• Ensure schedules reflect accurate service delivery within authorization limits.
• Perform other duties as they may arise.

• 3–5 years of billing experience (Sandata experience strongly preferred).
• Familiarity with Quick Books and Excel.
• Strong organizational skills with excellent follow-through.
• Experience in home care, healthcare, or related service industry.
• Tech-comfortable and willing to learn multiple portals/platforms.
• Reliable, discreet, detail-driven, and deadline-focused.

• Experience with Generations, VA billing portals, or GUIDE Model partners.
• Bilingual fluency (English/Spanish for ease of communicating with CHS caregivers).

• Office perks: free gym, on-site childcare discounts, in-building restaurant, and free bi-weekly breakfast.
• Central location with easy access to Route 8.
• Team that values your voice, respects your hustle, and supports your growth.

Behind every invoice is a family counting on our care.

If that resonates with you, this job might just be the perfect fit.

Apply today! Make an impact tomorrow!