Position Summary:
We are seeking a Medicare Biller that will be responsible for accurately preparing and submitting hospice claims to Medicare, resolving billing issues, and ensuring timely reimbursement. This role requires a deep understanding of Medicare billing regulations, hospice-specific billing codes, and compliance with CMS guidelines.
Key Responsibilities:
- Prepare, review, and submit accurate Medicare hospice claims (NOE, NOTR, claims) in a timely manner.
- Monitor claim status and follow up on unpaid or rejected claims.
- Ensure compliance with CMS billing regulations, including timely NOE/NOTR submission.
- Investigate and resolve claim denials or discrepancies.
- Maintain accurate billing records and documentation.
- Coordinate with clinical and intake teams to verify billing information and hospice eligibility.
- Reconcile payments and ensure appropriate posting to patient accounts.
- Assist with audits and provide documentation as needed.
- Maintain knowledge of Medicare updates and hospice billing best practices.
Qualifications:
- High school diploma or equivalent required; associate’s degree preferred.
- 2+ years of experience in hospice Medicare billing required.
- Strong knowledge of CMS regulations, Medicare FISS/DDE, NOE/NOTR submission, and UB-04 claim forms.
- Experience using hospice EMR systems (e.g., Consolo, WellSky, HCHB, etc.) strongly preferred.
- Excellent attention to detail and organizational skills.
- Ability to work independently and meet deadlines.
- Strong communication and problem-solving skills.
Preferred Qualifications:
- Familiarity with Medicaid and commercial insurance hospice billing
- Experience with claim reconciliation and electronic remittance advice (ERA)
- Understanding of hospice-specific billing challenges, including room & board billing for SNF patients
Job Type: Full-time
Pay: $75,000.00 - $90,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Hospice Billing: 1 year (Required)
Work Location: Remote
