[Hiring] Medicaid Biller @Suncrest Hospice

Role Description

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.

• 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 1 year 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

Requirements

• 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

Benefits

• Actual Work/Life Balance
• Monday - Friday, 8am-5pm
• Fully Remote
• Competitive Pay: $23-$25, hourly/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