Billing Specialist

At CHS, we live by one mission:

Since 2007, our family-owned homecare agency has proudly supported Connecticut’s seniors and families with compassion, dedication, and exceptional service.

Location: Shelton, Connecticut (On-site)

Job Type: Full-Time

Compensation: $21.00 – $23.00 per hour

• Free membership to an in-building 24/7 gym
• Discounted childcare services on-site
• In-building breakfast/lunch café
• Plenty of free parking
• Convenient access to Route 8

Caregiver’s Home Solutions (CHS) is seeking a detail-oriented and dependable Billing Specialist to support billing operations in our Shelton, CT office. The ideal candidate will have experience with healthcare billing, Medicaid Waiver billing, and claims processing in a fast-paced office environment. Sandata experience is strongly preferred.

This position will serve as the primary biller for Medicaid Waiver clients utilizing the following systems:

• Axis Care
• Sandata (Connecticut’s Electronic Visit Verification system)
• DSSMaps portal

This role will also serve as a backup biller for non-Medicaid Waiver clients across various payer sources, including:

• Private-pay clients, including Long-Term Care Insurance reimbursement claims submission support
• DSS clients through Social Work Services / Protective Services for the Elderly (PSE) programs
• Respite Grant clients through Agencies on Aging and various organizations (e.g., the Alzheimer’s Association)
• Veterans through the VA Community Care Network
• Respite clients through Medicare’s GUIDE Model partnerships (e.g., Connecticut Hospice/Stand By Me and PocketRN)

This is a fully on-site position reporting to the Managing Director.

• Input data and prepare claims in Axis Care for billing purposes within Sandata and DSSMaps
• Create, review, and export invoices in Axis Care system for processing finalized claims with Sandata
• Confirm shifts worked to ensure accurate and timely billing
• Research and resolve billing inconsistencies, denied claims, and payment discrepancies
• Maintain client billing records and all supporting documentation
• Secure and verify prior authorizations, eligibility, and required billing documentation
• Provide daily billing updates and reports for management review
• Collaborate with internal departments, as well as external payors as needed, to resolve billing concerns and improve workflow efficiency
• Collect and maintain compliance-related documentation as needed
• Communicate professionally, clearly, and thoroughly with clients, payers, and internal staff regarding billing matters
• Always maintain confidentiality and HIPAA compliance
• Perform additional billing and administrative projects as assigned

• Bilingual Spanish preferred
• Minimum of 2–3 years of billing, bookkeeping, healthcare billing, or related experience preferred
• Experience with Medicaid Waiver billing strongly preferred
• Experience with Sandata and DSSMaps systems is strongly preferred
• Experience in home care, healthcare, or service industry billing preferred
• Familiarity with Axis Care software is a plus
• Strong computer skills including Microsoft Excel, Word, Outlook, and Quick Books
• Excellent attention to detail and organizational skills
• Ability to multitask and work efficiently in a fast-paced environment
• Strong written and verbal communication skills
• Professional, dependable, and team-oriented attitude
• Ability to maintain confidentiality in all aspects of the role

• Full-time, Monday through Friday
• 8:30 AM – 5:00 PM
• Fully on-site in Shelton, CT
• Primarily sedentary work involving extended periods at a computer

At CHS, we believe our employees are the foundation of our success. We foster a supportive, team-oriented culture where hard work, professionalism, and dedication are recognized and rewarded. If you are looking for an opportunity to grow your billing career while making a meaningful impact,