We are seeking a detail-oriented and experienced PAS (Personal Assistance Services) Biller to manage the end-to-end billing process for Personal Assistance Services home health care and community-based support programs. This role ensures accurate and timely claim submission payment posting denial management and reimbursement in compliance with Medicaid Medicare (where applicable) Managed Care Organizations (MCOs) and other payer requirements.

Youll work closely with caregivers schedulers intake coordinators authorization specialists and the Revenue Cycle team to verify service documentation maintain billing accuracy resolve claim issues and maximize reimbursement all while ensuring regulatory compliance.

The ideal candidate has a strong understanding of Medicaid billing Electronic Visit Verification (EVV) prior authorizations and Home and Community-Based Services (HCBS) billing processes.

PAS Billing Operations

Prepare review and submit accurate claims for PAS and community-based care programs

Verify patient demographics insurance eligibility payer information and service authorizations before billing

Ensure services billed match approved authorizations care plans and documented visits

Validate EVV records prior to claim submission

Submit claims electronically through payer portals and clearinghouses within required deadlines

Maintain complete and accurate billing records per company policy

Claims & Revenue Cycle Management

Monitor claims from submission through payment

Investigate and resolve rejections denials underpayments and payment delays

Submit corrected claims and appeals as needed

Coordinate with Accounts Receivable on outstanding balances and unpaid claims

Reconcile payments and ensure accurate payment posting

Identify reimbursement trends and recommend corrective actions

Authorization & Documentation Management

Verify valid prior authorizations before claims are submitted

Track authorization utilization and flag expiring authorizations

Review caregiver documentation visit notes and service logs for billing accuracy

Communicate documentation deficiencies to clinical/operations staff

Ensure documentation supports all billed services per payer requirements

Compliance & Quality Assurance

Ensure compliance with Medicaid HIPAA state regulations and payer guidelines

Stay current on billing regulation fee schedule and reimbursement policy changes

Support internal and payer audits and documentation reviews

Maintain confidentiality of patient and financial information

Reporting & Performance Monitoring

Prepare daily weekly and monthly billing and reimbursement reports

Monitor KPIs including clean claim rate claims submitted denial rate Days in AR collection rate authorization utilization and outstanding claims

Report unresolved billing issues and trends to the Billing Manager

Collaboration

Partner with Intake Scheduling Care Coordination Clinical Services Finance and Accounts Receivable

Participate in process improvement initiatives

Support and guide team members on billing procedures and payer requirements

Requirements

Required

High school diploma or equivalent; Associates or Bachelors degree in Healthcare Administration Business Administration or related field preferred

Minimum 2 years of medical billing experience preferably in PAS Home Health or HCBS

Strong knowledge of Medicaid billing MCOs and payer guidelines

Experience with Electronic Visit Verification (EVV) systems

Proficiency in EMR systems billing software and Microsoft Office Suite

Excellent analytical organizational and problem-solving skills

Strong written and verbal communication skills

Ability to manage multiple priorities while meeting billing deadlines

Preferred

Certified Professional Biller (CPB) or other healthcare billing certification

Experience with Texas Medicaid PAS billing and HCBS

Knowledge of prior authorization management and denial appeals

Familiarity with clearinghouses payer portals and revenue cycle management systems

Experience supporting multi-site home care operations

Benefits

Competitive executive salary

Medical insurance

Paid time off / holidays