Ohio Hospice Billing Specialist-Continuum Care Hospice

Legacy Health Services•Parma, OH

2d•Onsite

About The Position

Are you an experienced billing professional with a passion for accuracy and compassion-driven care? Join our team as a Hospice Billing Specialist, where you will ensure timely and compliant billing across multiple Ohio-based hospice agencies. This position plays a vital role in supporting our mission of delivering comfort and dignity to patients and families across the state.

Requirements

1–2 years of hospice billing experience in Ohio is required.
Familiarity with Ohio Medicaid, MyCare Ohio plans, and CMS hospice billing rules.
Detail-oriented with strong follow-up and communication skills.
Proficient in working with billing software, clearinghouses, and payer portals.
Team player with a commitment to accurate, ethical billing practices in end-of-life care.

Nice To Haves

Experience using hospice EMR systems (Suncoast) is preferred.

Responsibilities

Prepare and submit electronic claims for Medicare, Ohio Medicaid, and Managed Care payers specific to hospice care.
Track and follow up on outstanding claims to ensure timely reimbursements in accordance with CMS and Ohio Department of Medicaid (ODM) regulations.
Work knowledgeably with Notice of Election (NOE), Notice of Termination/Revocation (NOTR), and other hospice-specific billing processes.
Analyze Explanation of Benefits (EOBs), remittance advice (RA), and hospice billing edits (HIS/NOE rejections).
Manage aging reports, bad debt accounts, and hospice cap tracking.
Communicate with insurers, clearinghouses, and hospice team members to resolve discrepancies.
Stay current with changes in Ohio Medicaid Managed Care plans and hospice CMS billing regulations.