Medical Billing Specialist

Big Bend Hospice (BBH) is your “Hometown Hospice,” providing compassionate end-of-life care for over 40 years to the Big Bend region. Guided by our values of integrity, respect, and excellence, we are seeking a detail-oriented Medical Billing Specialist to support our Revenue Cycle team and ensure accurate, timely billing and reimbursement processes.

The ideal candidate for the Medical Billing Specialist role is a highly organized and analytical professional with a strong understanding of healthcare billing, particularly within hospice and palliative care. This individual must be comfortable navigating multiple billing systems, resolving claim issues, and working collaboratively across departments. The ideal candidate demonstrates accuracy, accountability, and a proactive approach to managing claims, denials, and payer communications while supporting the organization’s financial health and compliance standards.

Position Duties and Responsibilities:

The Medical Billing Specialist responsibilities include, but are not limited to the following:

• Prepare, submit, and follow up on Part A, Part B, Medicaid, Commercial, Room & Board, and self-pay claims.
• Post payments, adjustments, and denials across multiple EMR and billing systems.
• Review accounts receivable aging reports and follow up on outstanding balances.
• Research and resolve denied claims, including preparing and submitting appeals and disputes.
• Conduct eligibility verification, insurance checks, and obtain prior authorizations as needed.
• Process hospice room & board billing and pass-through billing for skilled nursing facilities (SNFs).
• Maintain and navigate third-party payer portals (DDE, Medicaid, Managed Care, etc.).
• Collaborate with clinical teams to ensure accuracy and completeness of charges prior to submission.
• Assist with payer credentialing and retroactive payer updates as needed.
• Support compliance processes, including Additional Documentation Requests (ADRs).
• Stay current on payer policies and communicate updates to internal teams.
• Ensure timely submission of Notice of Election (NOE) and other required documentation.
• Maintain thorough documentation of all billing activity and payer communications.
• Cross-train and provide backup support within the revenue cycle team.
• Ensure compliance with HIPAA, payer requirements, and organizational policies.
• Perform other duties as assigned.

Work Schedule:

• Monday – Friday (hours based on operational needs)
• 8:00 AM- 5:00 PM 

Education & Experience:

• High School Diploma required; Associate’s degree in healthcare, business, or related field preferred.
• Minimum of 2–3 years of healthcare billing experience required.
• Hospice and/or palliative care billing experience strongly preferred.
• Certified Medical Biller (CMB) or similar certification preferred but not required.

Skills & Abilities:

• Strong knowledge of medical billing practices and revenue cycle management.
• Understanding of institutional (Part A) and professional (Part B) claims.
• Familiarity with CPT, HCPCS, and ICD-10 coding.
• Proficiency in EMR and billing systems (e.g., MatrixCare, Netsmart, or similar).
• Strong Microsoft Office skills (Word, Excel, Outlook).
• Excellent analytical and problem-solving abilities.
• High attention to detail and organizational skills.
• Strong verbal and written communication skills.
• Self-motivated, dependable, and able to meet deadlines in a fast-paced environment.

Requirements:

• Commitment to BBH’s core values: integrity, compassion, and accountability.
• Ability to maintain confidentiality and handle sensitive information appropriately.

Total Rewards:

BBH offers a robust Total Rewards package including competitive salary, comprehensive benefits, recognition programs, and eligibility for Public Service Loan Forgiveness (for most roles).

Apply today and help us grow our mission to inspire hope by positively impacting the way our community experiences serious illness or grief — one family at a time!

Big Bend Hospice is an equal opportunity employer committed to diversity and inclusion.

Salary : $23 - $25