Hospice Billing Specialist (Remote)

VitalCaring Group•Dallas, TX

2d•Remote

About The Position

VitalCaring is seeking a detail-oriented, proactive Hospice Billing Specialist who understands the complexities of hospice reimbursement and takes pride in getting things right. This role is a remote opportunity for candidates residing in Alabama, Mississippi, Texas, Louisiana, Oklahoma, Kansas, Missouri, Arizona, or Florida. As a Hospice Billing Specialist, you'll play a critical role in supporting the financial health of our hospice operations, ensuring claims are accurate, reimbursements are timely, and billing practices remain compliant with Medicare and other payor requirements. This role is ideal for someone who enjoys solving problems, identifying opportunities for improvement, and collaborating with clinical and operational teams to drive results.

Requirements

At least 1 year of healthcare billing experience, including hospice billing experience.
Working knowledge of Medicare hospice billing and reimbursement requirements.
Familiarity with NOEs, 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.

Nice To Haves

Associate's degree in Healthcare Administration, Business, or a related field.
Experience supporting hospice revenue cycle operations, audits, and appeals.
Demonstrated ability to collaborate with clinical and operational partners to resolve billing issues.

Responsibilities

Prepare, review, and submit accurate, timely hospice claims for Medicare, Medicaid, managed care, and commercial payors.
Ensure appropriate billing across all hospice levels of care, including Routine Home Care (RHC), Continuous Home Care (CHC), General Inpatient Care (GIP), and Inpatient Respite Care (IRC).
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 (NOEs), 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 (EMR).
Support audit readiness, including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE) reviews, and other payor audits.
Maintain high standards for productivity, quality, compliance, and confidentiality.
Stay current on Medicare hospice reimbursement changes and industry best practices.
Contribute to a proactive, solutions-focused revenue cycle team.