Hospice Billing Specialist

VitalCaring Group

. Prepare, review, and submit accurate, timely hospice claims for Medicare, Medicaid, managed care, and commercial payors.

Posted 10/9/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in hospice billing and reimbursement processes, including Medicare and Medicaid regulations, while maintaining compliance and accuracy in claim submissions. Proficient in utilizing EMR systems and healthcare billing software to support efficient revenue cycle management.

Highest-signal resume keywords

Hospice Billing ExperienceMedicare Reimbursement KnowledgeClaim Submission and Denial ResolutionEMR Systems ProficiencyAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare BillingMedicare BillingClaim Rejection ResolutionRevenue Code ReviewDocumentation ReviewBilling Procedures CompliancePayment ReconciliationAudit ReadinessBilling Record MaintenanceAnalytical Thinking

Soft Skills

Problem-SolvingAttention to DetailTime ManagementCollaborationCommunication

Tools & Technologies

Electronic Medical Record (EMR)Healthcare Billing SoftwareMicrosoft Office

Industry Keywords

Hospice CareMedicaidManaged CareCommercial PayorsRoutine Home CareContinuous Home CareGeneral Inpatient CareInpatient Respite CareNotices of Election (NOEs)Targeted Probe and Educate (TPE)

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.
Candidates must reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, Kansas, Missouri, Arizona, or Florida.

Benefits

Comp & perks

Medical, Dental, and Vision coverage
Pharmacy benefits
Virtual care and mental health support
Flexible Spending Accounts (FSA) and Health Savings Account (HSA)
Supplemental health and life insurance
401(k) with company match
Employee referral program
Prepaid legal services
Identity theft protection
Generous paid time off
Pet insurance
Tuition and continuing education reimbursement