Senior Billing Specialist

Dover Health•Ladue, MO

6h•Onsite

About The Position

Dover Health is part of The Dover Companies, a vertically integrated healthcare organization established in 2007. Focused on providing comprehensive healthcare services to seniors, Dover Health aims to bridge the gap between traditional medical care and the evolving needs of aging populations through services such as home health, hospice care, private duty services, and primary care. Aligned with the mission of The Dover Companies, Dover Health is committed to creating an environment where each person feels loved, valued, supported, and able to live life to the fullest. Dover Health is committed to enhancing the quality of life for seniors by delivering patient-centered care that allows them to remain in their own homes with dignity and comfort. The Senior Billing Specialist, reporting directly to the Revenue Cycle Manager, is responsible for end-to-end hospice billing and revenue cycle functions, with a strong focus on Medicare compliance, claim accuracy, and timely cash collections. This role ensures clean claim submission, proactive denial management, and consistent cash flow by owning the billing process from charge entry through payment posting and AR follow-up.

Requirements

3–5+ years of healthcare billing experience, with direct hospice billing, required
Strong knowledge of Medicare hospice billing rules and regulations, required
Experience with EMR/RCM systems and electronic claims submission, required
Proven experience managing AR, denials, and collections, required

Nice To Haves

Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or related field is preferred
Experience in both Hospice and Home Health billing is preferred
Familiarity with Medicare Administrative Contractors (MACs) and payer portals is preferred

Responsibilities

Prepare, review, and submit hospice claims (Medicare, Medicare Advantage, Medicaid, and commercial) with high accuracy and timeliness
Ensure all claims meet hospice billing requirements (e.g., NOE, NOTR, rev codes, levels of care, sequencing)
Monitor claim status and aggressively follow up on unpaid or denied claims, especially 60 and 90 days
Maintain in-depth knowledge of Medicare hospice billing rules, including election statements, benefit periods, caps, levels of care (Routine, GIP, Respite, Continuous Care), face-to-face requirements and physician certifications
Ensure compliance with all CMS billing regulations and documentation standards
Investigate, resolve, and appeal denied or underpaid claims
Identify root causes of denials and implement corrective actions to prevent recurrence
Maintain accountability for AR aging and drive reduction in outstanding balances
Post all cash receipts, adjustments, and contractual allowances accurately and timely
Reconcile payments to billed amounts and investigate discrepancies
Support month-end close processes, including charge entry and reconciliation
Verify insurance coverage and patient responsibility prior to billing
Obtain and track authorizations where required
Conduct routine billing audits to ensure accuracy and regulatory compliance
Identify risk areas that could lead to denials, recoupments, or audit exposure
Maintain strict adherence to HIPAA and patient confidentiality standards
Monitor key billing KPIs (clean claim rate, denial rate, AR aging, days to bill, cash collections)
Recommend and implement process improvements to increase efficiency and cash flow
Collaborate with clinical, intake, and leadership teams to resolve documentation or workflow issues impacting billing