What are the responsibilities and job description for the Medicare biller/hospice biller position at AppleOne?
Medicare Hospice Biller with Part A experience (Full-time). Monday - Friday 8:30am -4:30pm, 4 days working in the office 1 day remote.
This position is in office. Located in Southern New Jersey.
We are seeking a detail-oriented and experienced Hospice Biller to join our Revenue Cycle team. The primary focus of this role will be billing Medicare Part A for hospice services, ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have prior experience with Medicare regulations, hospice billing processes, and revenue cycle functions.
Job Functions:
Prepare and submit Medicare Part A hospice claims in compliance with CMS regulations and organizational policies.
Verify accuracy of patient demographics, benefit periods, levels of care (routine, respite, GIP, continuous), and physician certifications/recertifications.
Ensure Face-to-Face (F2F) and other documentation requirements are met prior to claim submission.
Post payments and adjustments; reconcile remittance advices (ERA/EOB) for accuracy.
Identify, correct, and resubmit denied or rejected claims in a timely manner.
Monitor unpaid claims and follow up with Medicare as needed.
Collaborate with Admissions, Clinical, and Finance staff to resolve billing discrepancies.
Maintain up-to-date knowledge of Medicare hospice billing regulations (Part A) and CMS updates.
What You'll Bring:
High school diploma or equivalent required; associate degree preferred.
Minimum 2 years of experience in hospice or home health billing, with a strong focus on Medicare Part A.
Knowledge of Medicare hospice regulations, revenue codes, condition codes, and billing requirements.
Proficiency with EMR/billing systems (e.g., MyUnity, Netsmart, Epic, or similar).
Strong organizational skills, attention to detail, and ability to meet deadlines.
Excellent communication and problem-solving skills.
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_ English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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This position is in office. Located in Southern New Jersey.
We are seeking a detail-oriented and experienced Hospice Biller to join our Revenue Cycle team. The primary focus of this role will be billing Medicare Part A for hospice services, ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have prior experience with Medicare regulations, hospice billing processes, and revenue cycle functions.
Job Functions:
Prepare and submit Medicare Part A hospice claims in compliance with CMS regulations and organizational policies.
Verify accuracy of patient demographics, benefit periods, levels of care (routine, respite, GIP, continuous), and physician certifications/recertifications.
Ensure Face-to-Face (F2F) and other documentation requirements are met prior to claim submission.
Post payments and adjustments; reconcile remittance advices (ERA/EOB) for accuracy.
Identify, correct, and resubmit denied or rejected claims in a timely manner.
Monitor unpaid claims and follow up with Medicare as needed.
Collaborate with Admissions, Clinical, and Finance staff to resolve billing discrepancies.
Maintain up-to-date knowledge of Medicare hospice billing regulations (Part A) and CMS updates.
What You'll Bring:
High school diploma or equivalent required; associate degree preferred.
Minimum 2 years of experience in hospice or home health billing, with a strong focus on Medicare Part A.
Knowledge of Medicare hospice regulations, revenue codes, condition codes, and billing requirements.
Proficiency with EMR/billing systems (e.g., MyUnity, Netsmart, Epic, or similar).
Strong organizational skills, attention to detail, and ability to meet deadlines.
Excellent communication and problem-solving skills.
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_ English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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