Revenue Cycle and Billing Specialist

BrightStar Care of Louisville is seeking an experienced Revenue Cycle & Billing Specialist to take ownership of key billing, accounts receivable, payment, and payroll-related functions for our growing home care agency.

This position requires someone who is highly organized, persistent, detail-oriented, and comfortable independently researching and resolving complex billing issues. The ideal candidate will have strong experience with KY Medicaid and managed care billing and will take ownership of claims from initial submission through final payment.

This role may be structured initially as a part-time contract or contract-to-hire position for the right candidate, with the opportunity to transition into a full-time internal role.

Manage insurance accounts receivable from claim submission through payment

Monitor aging A/R and proactively pursue outstanding balances

Research, correct, and resubmit denied or rejected claims

Prepare and submit appeals and supporting documentation

Follow up directly with insurance carriers regarding unpaid and underpaid claims

Work payer portals, clearinghouses, and other billing systems to resolve claim issues

Identify recurring denial trends and recommend corrective actions

Ensure secondary claims are submitted appropriately and timely

Maintain detailed documentation of collection and follow-up activity

Provide regular reporting on outstanding A/R, collections, denials, and unresolved payer issues

Manage billing and follow-up for Medicaid and Medicaid Managed Care claims

Research eligibility, authorization, claim, and payment discrepancies

Work directly with Medicaid MCOs to resolve denied or unpaid claims

Maintain knowledge of payer requirements, billing rules, authorization requirements, and timely filing deadlines

Assist with resolving complex or aged Medicaid receivables

Experience with Kentucky Medicaid, Passport by Molina, Anthem, Aetna Better Health, VA, and other Kentucky Medicaid MCOs is strongly preferred.

Process ACH billing and electronic client payments

Maintain accurate payment records and reconcile payments to outstanding balances

Research and resolve failed, returned, or incorrect ACH transactions

Ensure payments are accurately posted to client accounts

Maintain appropriate documentation and internal controls related to payment processing

Prepare and submit weekly payroll data accurately and on schedule

Review payroll information for completeness and identify discrepancies prior to submission

Coordinate with operations and scheduling staff to resolve payroll-related discrepancies

Maintain accurate payroll documentation and reporting

Assist with payroll reconciliation and correction of errors as needed

Candidates with any of the following experience are strongly encouraged to apply:

Home care, home health, private duty nursing, hospice, or other healthcare services

Kentucky Medicaid

Medicaid Managed Care Organizations

Private Duty Nursing billing

Electronic Visit Verification (EVV)

Denials and appeals

Aged A/R recovery

Use of Availity Clearinghouse

Payroll processing or payroll data submission

ACH/client payment processing

The successful candidate will take genuine ownership of the revenue cycle rather than simply processing transactions.

Success in this role means:

Claims are submitted accurately and timely

Denials are actively worked through resolution

Aging A/R consistently decreases

Outstanding balances do not sit without documented follow-up

Payments are accurately processed and reconciled

Weekly payroll information is submitted accurately and on time

Recurring billing problems are identified and addressed at their source

Leadership has clear visibility into outstanding receivables and collection activity

We are open to considering the right candidate for either:

Contract / Contract-to-Hire: Approximately 15–25 hours per week initially, with the potential to transition into a permanent full-time position.

Full-Time: For an experienced candidate capable of assuming broader ownership of the revenue cycle, billing, payment processing, and payroll-related responsibilities.

Compensation will be based on experience and the structure of the position.