Medicare Billing Specialist (Hospice)

2 Positions available - Medicare Billing Specialist (Hospice)

1 Long Term Temporary, 12 weeks, and 1 Temp to Hire 

Salary: $21.50 - $25.00 per hour, based on years of experience

8:30-4:30 pm (M-F In Office)

Position Summary

The Hospice Medical Biller / Accounts Receivable (A/R) Coordinator is responsible for preparing, submitting, and monitoring hospice claims to ensure accurate and timely reimbursement. This position manages billing activities related to Medicare, Medicaid, Managed Medicaid, and commercial payers while ensuring compliance with hospice billing regulations. The Hospice Biller monitors accounts receivable, resolves reimbursement issues, and coordinates with internal departments to ensure claims are processed accurately and payments are received timely.

Essential Job Functions

Hospice Billing Operations

• Prepare and submit hospice claims electronically to Medicare, Medicaid, and commercial payers.
• Utilize billing software to adjust, correct, and resubmit claims when necessary.
• Monitor claims to ensure timely submission and reimbursement.
• Bill hospice discharges on a weekly basis.

Medicare Hospice Billing

• Process Notice of Election (NOE) billing requirements.
• Enter and manage NOE information in the billing system.
• Ensure compliance with Medicare hospice billing regulations and submission timelines.

Room & Board Billing

• Prepare and submit Room & Board claims for hospice patients residing in nursing facilities.
• Coordinate with contracted facilities to ensure accurate census information for billing.
• Monitor room and board reimbursement and resolve payment discrepancies.

Accounts Receivable Management

• Monitor hospice accounts receivable to ensure timely reimbursement.
• Investigate and resolve unpaid or denied claims.
• Follow up on rejected claims and resubmit corrections as needed.
• Coordinate accounts receivable activities to meet required schedules for billing and financial reporting.

Payment Processing & Adjustments

• Post payments to hospice patient accounts.
• Prepare adjustments within the accounts receivable system when necessary.
• Reconcile payment activity with billing reports.
• Assist with identifying and resolving payment discrepancies.

Revenue Cycle Coordination

• Communicate with clinical and administrative staff to obtain documentation required for billing or claim resolution.
• Participate in revenue cycle team meetings as necessary.
• Maintain accurate billing documentation and records.
• Support process improvements to enhance billing accuracy and reimbursement efficiency.

Qualifications

Education

• High school diploma required

Experience

• 3+ years of hospice billing or healthcare revenue cycle experience.

Knowledge & Skills

• Knowledge of Medicare hospice billing regulations
• Experience with room and board billing for hospice patients in nursing facilities
• Familiarity with Medicaid and managed care payer processes
• Experience with electronic billing systems and EHR platforms
• Strong attention to detail and organizational skills
• Microsoft Excel and Word applications.

Benefits

• Health Insurance, Vacation and PTO available after completion of required hours worked.

Please send resumes to Sue Whelan at: swhelan@emersongroupinc.com 

Qualifications

High school diploma required. 3+ years of hospice billing or healthcare revenue cycle experience.