Hospice Billing Specialist (Remote)

VitalCaring Group•Dallas, TX

4h•Remote

About The Position

At VitalCaring, our team members transform lives and foster hope through genuine caring. The Hospice Billing Specialist plays a vital role in supporting the financial integrity of our hospice operations by ensuring accurate and timely billing in compliance with Medicare Hospice regulations and all applicable federal, state, and commercial payor requirements. This role supports clinical and operational teams by safeguarding revenue through meticulous claim preparation, documentation review, and proactive resolution of billing issues. In alignment with our values — Trustworthy, Capable, Compassionate, Proactive, and Called — every interaction reflects our commitment to serving patients and families with excellence and integrity. Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.

Requirements

Minimum of one (1) year of healthcare billing experience, with hospice billing.
Working knowledge of: Medicare Hospice reimbursement regulations, Notice of Election (NOE) requirements, Levels of care billing (RHC, CHC, GIP, IRC), Denial management and appeals processes, Electronic Medical Records (EMR) systems.
High school diploma or equivalent required.
Strong analytical skills and attention to detail with the ability to manage multiple billing cycles simultaneously.
Proficiency in Microsoft Office and billing software systems.
Reliable transportation (if position requires branch presence).

Nice To Haves

Associate’s degree in Healthcare Administration, Business, or related field preferred.

Responsibilities

Implements and adheres to VitalCaring’s established Hospice billing Standard Operating Procedures, ensuring compliance with Medicare Hospice Conditions of Participation and regulatory guidelines.
Prepares, reviews, and submits hospice claims accurately and timely, including Medicare, Medicaid, Managed Care, and other third-party payors.
Ensures proper billing of hospice levels of care, including: Routine Home Care (RHC), Continuous Home Care (CHC), General Inpatient Care (GIP), Inpatient Respite Care (IRC).
Verifies timely Notice of Election (NOE) submission and ensures hospice election statements, physician certifications, and recertifications are complete and compliant prior to billing.
Reviews documentation to confirm appropriate revenue codes, occurrence codes, discharge status codes, and length of stay compliance.
Identifies, investigates, and resolves billing edits, claim rejections, denials, and payment discrepancies, including coordination of benefit (COB) scenarios.
Collaborates with Branch Directors, Clinical Managers, and Admissions teams to obtain missing documentation and resolve discrepancies impacting reimbursement.
Accurately documents billing coordination notes in the EMR to ensure effective communication between branch and revenue cycle teams.
Uploads remittance advices, payor correspondence, and supporting documentation into the EMR according to company guidelines.
Monitors and reconciles payments, ensuring accurate posting and identification of underpayments or overpayments.
Meets or exceeds established productivity and quality benchmarks while maintaining accuracy and compliance.
Maintains strict confidentiality of all patient and financial data in accordance with HIPAA and company policies.
Supports audit preparedness, including ADRs, TPE reviews, and other Medicare or third-party payor audits.
Participates in ongoing education regarding hospice reimbursement updates, regulatory changes, and industry best practices.
Performs other duties as assigned to support operational and revenue cycle excellence.