VitalCaring Group

Billing Specialist

• Prepare, review, and submit accurate, timely hospice claims for Medicare, Medicaid, managed care, and commercial payors.
• Ensure appropriate billing across 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 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 productivity, quality, compliance, and confidentiality standards.
• Stay current on Medicare hospice reimbursement changes and industry best practices.
• Contribute to a proactive, solutions-focused revenue cycle team.

Explore Hospice Billing Specialist at VitalCaring Group. Review requirements and application details.