Benefits:

401(k)

Health insurance

Paid time off

BG Healthcare Services is looking for a detail-oriented, motivated Billing Specialist / Administrative Assistant to join our growing team. This is a hybrid role that combines Medicaid billing expertise with general office support for a fast-paced home care agency. Ideal candidates will have experience with Virginia Medicaid, including DMAS, MCOs, and Waiver billing processes.

Responsibilities:

Billing & RCM Duties:

Process Medicaid and MCO claims accurately and in a timely manner (including Aetna, UHC, Anthem, and Sentara)

Review documentation and timesheets to ensure claim compliance

Manage denials, resubmissions, and follow-up with payers

Maintain current knowledge of VA Medicaid regulations and codes

Track authorizations, expirations, and units used for each client

Communicate with support coordinators and insurance reps as needed

Administrative Support:

Assist with caregiver onboarding paperwork and file compliance

Monitor Plan of Care expirations and scheduling accuracy

Support incoming calls, emails, and general office coordination

Help prepare reports, audit materials, and intake packets

Collaborate with Branch Manager and clinical team to ensure workflow accuracy

Qualifications:

Prior experience in home health, home care, or healthcare billing required

Experience with Virginia Medicaid (DMAS, MCOs, Waivers) strongly preferred

Familiarity with EVV systems and Medicaid billing portals

Strong organizational skills and attention to detail

Ability to manage multiple priorities in a small, dynamic office

Excellent communication and follow-up skills

Proficient in Microsoft Office and/or EMR software

Compensation & Benefits:

Competitive hourly rate or salary based on experience

PTO, paid holidays, and healthcare options available

Professional development support and training

Opportunity to grow within a mission-driven, community-focused agency

Apply today to help us deliver compassionate, reliable care to those who need it most — and help build a stronger operational foundation behind the scenes.