Benefits:

ICHRA reimbursement plan

Competitive salary

Paid time off

Training & development

Compensation: $22/hour during a 30-day paid, in-office training period (30 hrs/week), then $44,000–$52,000/year based on experience. Candidates with Medicaid billing, Nevada payroll, and home care agency experience will be considered for the top of the range.

Benefits: Retirement plan · ICHRA reimbursement plan · Paid time off · Career growth opportunities

About the Role Healing Touch Home Care is a Nevada Medicaid Personal Care Services agency supporting clients in their homes with a team of about 200 caregivers. We're looking for an experienced Billing & Administrative Coordinator to own our billing, remittances, payroll support, and agency compliance paperwork, and to provide administrative support directly to our Administrator.

This is not an entry-level role. You'll be the person the office relies on to get claims out, catch denials, keep payroll deductions accurate, and meet hard deadlines with Medicaid, managed care plans, and state agencies. Your first 30 days are a structured, paid training period in our Las Vegas office. You'll learn our payers and systems, including newly rebuilt tracking tools, before taking full ownership of the desk. After training, the role moves to a hybrid schedule.

This is a services billing role, not a coding role. Rates and units are set by each client's authorization, so ICD-10 or CPT coding experience isn't needed. What matters is knowing how to get claims paid through the Nevada Medicaid portal and our managed care plans.

What You'll Do Billing and revenue Submit claims through Sandata and track billed units against authorizations

Download and reconcile remittance advices from Nevada Medicaid and managed care plans, and work denials, adjustments, and retractions

Bill our family caregiver program manually through the Nevada Medicaid portal and review weekly service records

Prepare contracts and invoices for private-pay clients

Authorizations and client records Monitor new and existing authorizations and eligibility

Review Sandata and payer portal reports daily and resolve errors

Activate new clients and support care plan updates

Maintain audit-ready client files

Payroll and caregiver administration Review caregiver hours and payroll sheets each pay period

Enter deductions in ADP and answer caregiver payroll questions

Process wage garnishments, employment verifications, and separations

Manage NEST retirement enrollments, terminations, and contributions

Prepare responses and protests to Nevada DETR unemployment claims

Support caregiver credentialing and CPR scheduling

Licensing and contracts Prepare the agency's business and operating license renewals and keep them on schedule

Research and assemble contract and credentialing packages when we join a new payer or program

Administrative support to the Administrator Manage the Administrator's calendar, inbox, and follow-ups

Prepare correspondence, documents, and reports

Track open items and deadlines across departments and keep them moving

Handle confidential business matters with discretion

Serve as the go-to person for office staff on billing, payroll, and records questions

Required 4+ years of medical billing experience, including at least 2 years in home health or home care

Experience submitting claims directly through a state Medicaid provider portal, reading remittances, and working denials

At least 2 years of administrative support to a C-level executive

Strong Microsoft Office or Google Workspace skills

Proven ability to manage recurring deadlines across multiple systems

Discretion with confidential client and employee information

Able to work in our Las Vegas office during the 30-day training period, then on a hybrid schedule

Preferred Nevada payroll experience, including deductions, garnishments, and DETR unemployment claims

Sandata or another EVV system

ADP Workforce Now or a similar payroll system

Nevada Medicaid, Health Plan of Nevada, Anthem, SilverSummit, or CareSource

Payer contracting, provider enrollment, or license renewal experience

Therap

Make, Zapier, or a similar workflow automation tool

Bilingual English/Spanish

How to Apply

Submit your application with a current resume and a cover letter. In your cover letter, describe your Medicaid billing experience: which payers, which systems, and your typical claim volume. Also describe your experience supporting an executive. Applications without a cover letter or without billing experience will not be considered for this role.

Flexible work from home options available.