Billing & Administrative Coordinator

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 RoleHealing 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 DoBilling and revenueSubmit 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 recordsMonitor 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 administrationReview 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 contractsPrepare 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 AdministratorManage 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

Required4+ 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

PreferredNevada 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.