Hospice Billing Specialist

Longwood HospiceRemote Part-Time 20-24hrs./week

We are seeking an organized and detail-oriented part-time Hospice Billing Specialist to manage the billing and claims process for hospice services. This position is responsible for submitting claims, monitoring accounts receivable, following up on denials, and ensuring accurate and timely billing in accordance with Medicare, MassHealth, and insurance requirements.

Responsibilities:

• Process and submit hospice claims to Medicare, MassHealth, Medicare Advantage, commercial insurance, and private pay.

• Monitor claims, follow up on unpaid accounts, and resolve billing denials and rejections.

• Post payments, reconcile accounts, and maintain accurate billing records.

• Ensure billing documentation, physician certifications, and required assessments are complete.

• Monitor Medicare hospice benefit periods, recertifications, and required CMS notices.

• Work with clinical and administrative teams to address documentation and billing discrepancies.

• Maintain compliance with CMS regulations, HIPAA, and Massachusetts hospice billing requirements.

• Assist with billing audits, month-end reconciliation, and accounts receivable reporting.

Qualifications:

• Minimum of 2 years of hospice or home health billing experience preferred.

• Knowledge of Medicare Hospice Benefit and MassHealth billing requirements.

• Experience with claims processing, denial management, and appeals.

• Familiarity with EMR systems; MatrixCare experience preferred.

• Proficiency in Microsoft Office, including Word and Excel.

• Strong organizational, communication, and problem-solving skills.

• Ability to manage multiple priorities and meet deadlines.

• Associate’s degree in healthcare administration, Business, Medical Billing, or a related field preferred.

• Certified Professional Biller (CPB) preferred.

INDHP