Medicaid Biller - Hospice
Why Suncrest
At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. We are looking for an experienced Medicaid Billing Specialist who is familiar with the intricacies of Medicaid billing rules and regulations to join our growing team.
Benefits
Actual Work/Life Balance
Monday - Friday, Full Time (flexibility for remote or in office)
Competitive Pay
Pay range: $45K-$80K, yearly/ DOE
Benefits Package including Medical, Dental, and Vision insurance
Paid Time Off
401k plan with employer match and 100% vesting after 90 days of employment
A culture with an emphasis on appreciating and valuing the team member
The opportunity to be part of a rapidly growing national company, with possible position upgrades
Details
We are seeking an experienced and detail-oriented Medicare Biller to join our hospice billing team. This position is responsible for timely and accurate submission of Medicare hospice claims, NOE filing, claims follow-up, payment posting review, denial resolution, and ensuring compliance with CMS and hospice billing regulations.
The ideal candidate will have strong knowledge of hospice Medicare billing processes, Palmetto/NGS DDE systems, and the ability to manage accounts receivable while maintaining excellent collection performance.
Submit Notices of Election, Notices of Transfer/Revocation, etc.
Send out clean claims on a monthly and as needed basis in a timely manner using EMR or billing software
Ability to submit claims/NOEs using DDE entry, as needed
Monitor unpaid claims – making phone calls and written appeals, as necessary
Investigate and resolve hard to collect claims
Track common claims errors and create solutions
Work with other hospice companies for sequential billing issues
Audit patient files as needed for accuracy in billing
Work with Accounting team to report potentially uncollectible debt, assist with payments and remits
Familiarity with PECOS and submitting changes, as needed
New office EDI setup with the MAC
Ability to successfully work with MACs to resolve a variety of issues as they arise
Manage internal user administration in MAC websites
Qualifications
Minimum 2 years of Medicare hospice billing experience
Strong understanding of:
Hospice claims billing
NOE submission requirements
Hospice benefit periods and recertifications
Medicare DDE systems (Palmetto, NGS, etc.)
Hospice UB-04 billing requirements
Experience resolving Medicare claim edits and denials
Knowledge of hospice eligibility and transfer billing rules
Strong organizational and time-management skills
Ability to work independently in a fast-paced environment
Proficiency in Excel and billing software systems
Preferred
Experience with MatrixCare or similar EMR/billing platforms
Knowledge of Medicaid and Managed Care hospice billing
Hospice and/or Home Health experience preferred
Use of Matrixcare, Waystar preferred
Competency using computers (i.e. web portals, downloading, uploading, scanning, etc.)
Experience with MS Word and Excel
High attention to detail
Problem Solving
Accounting mindset
Ability to adapt to a changing environment
Apply To This Job
At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. We are looking for an experienced Medicaid Billing Specialist who is familiar with the intricacies of Medicaid billing rules and regulations to join our growing team.
Benefits
Actual Work/Life Balance
Monday - Friday, Full Time (flexibility for remote or in office)
Competitive Pay
Pay range: $45K-$80K, yearly/ DOE
Benefits Package including Medical, Dental, and Vision insurance
Paid Time Off
401k plan with employer match and 100% vesting after 90 days of employment
A culture with an emphasis on appreciating and valuing the team member
The opportunity to be part of a rapidly growing national company, with possible position upgrades
Details
We are seeking an experienced and detail-oriented Medicare Biller to join our hospice billing team. This position is responsible for timely and accurate submission of Medicare hospice claims, NOE filing, claims follow-up, payment posting review, denial resolution, and ensuring compliance with CMS and hospice billing regulations.
The ideal candidate will have strong knowledge of hospice Medicare billing processes, Palmetto/NGS DDE systems, and the ability to manage accounts receivable while maintaining excellent collection performance.
Submit Notices of Election, Notices of Transfer/Revocation, etc.
Send out clean claims on a monthly and as needed basis in a timely manner using EMR or billing software
Ability to submit claims/NOEs using DDE entry, as needed
Monitor unpaid claims – making phone calls and written appeals, as necessary
Investigate and resolve hard to collect claims
Track common claims errors and create solutions
Work with other hospice companies for sequential billing issues
Audit patient files as needed for accuracy in billing
Work with Accounting team to report potentially uncollectible debt, assist with payments and remits
Familiarity with PECOS and submitting changes, as needed
New office EDI setup with the MAC
Ability to successfully work with MACs to resolve a variety of issues as they arise
Manage internal user administration in MAC websites
Qualifications
Minimum 2 years of Medicare hospice billing experience
Strong understanding of:
Hospice claims billing
NOE submission requirements
Hospice benefit periods and recertifications
Medicare DDE systems (Palmetto, NGS, etc.)
Hospice UB-04 billing requirements
Experience resolving Medicare claim edits and denials
Knowledge of hospice eligibility and transfer billing rules
Strong organizational and time-management skills
Ability to work independently in a fast-paced environment
Proficiency in Excel and billing software systems
Preferred
Experience with MatrixCare or similar EMR/billing platforms
Knowledge of Medicaid and Managed Care hospice billing
Hospice and/or Home Health experience preferred
Use of Matrixcare, Waystar preferred
Competency using computers (i.e. web portals, downloading, uploading, scanning, etc.)
Experience with MS Word and Excel
High attention to detail
Problem Solving
Accounting mindset
Ability to adapt to a changing environment
Apply To This Job