Hospice Billing Specialist
New
V
VitalCaringHospice care
Candidates must reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, Kansas, Missouri, Arizona, or Florida.Full-TimeJunior
Salary not disclosed
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Job Details
- Experience
- At least 1 year of healthcare billing experience, including hospice billing experience.
- Required Skills
- Microsoft Office
Requirements
- At least 1 year of healthcare billing experience, including hospice billing experience.
- Working knowledge of Medicare hospice billing and reimbursement requirements.
- Familiarity with Notices of Election, hospice levels of care, claim submission, and denial resolution.
- Experience using EMR systems and healthcare billing software.
- Strong attention to detail, analytical thinking, and problem-solving skills.
- Ability to manage competing priorities while maintaining accuracy and meeting deadlines.
- Proficiency in Microsoft Office.
- High school diploma or equivalent.
- An associate's degree in Healthcare Administration, Business, or a related field is preferred.
- Experience supporting hospice revenue cycle operations, audits, and appeals is preferred.
Responsibilities
- Prepare, review, and submit accurate, timely hospice claims for Medicare, Medicaid, managed care, and commercial payors.
- Ensure appropriate billing across Routine Home Care, Continuous Home Care, General Inpatient Care, and Inpatient Respite Care.
- Follow established billing procedures and applicable reimbursement regulations.
- Identify and resolve billing edits, claim rejections, denials, and payment discrepancies.
- Monitor payments, reconcile accounts, and identify potential underpayments or overpayments.
- Review documentation for accuracy, including Notices of Election, certifications, recertifications, revenue codes, and discharge information.
- Collaborate with branch leadership, clinical teams, and admissions to resolve documentation gaps and reimbursement challenges.
- Maintain accurate billing records and communication within the Electronic Medical Record.
- Support audit readiness, including Additional Documentation Requests, Targeted Probe and Educate reviews, and other payor audits.
- Stay current on Medicare hospice reimbursement changes and industry best practices.
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