Medicaid Room & Board Billing Specialist - Hospice

Why SuncrestAt 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.BenefitsActual Work/Life BalanceMonday - Friday, Full Time (flexibility for remote or in office)Competitive PayPay range: $23-$25 hrly/ DOEBenefits Package including Medical, Dental, and Vision insurancePaid Time Off401k plan with employer match and 100% vesting after 90 days of employmentA culture with an emphasis on appreciating and valuing the team memberThe opportunity to be part of a rapidly growing national company, with possible position upgradesDetailsWe 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 softwareAbility to submit claims/NOEs using DDE entry, as neededMonitor unpaid claims – making phone calls and written appeals, as necessaryInvestigate and resolve hard to collect claimsTrack common claims errors and create solutionsWork with other hospice companies for sequential billing issuesAudit patient files as needed for accuracy in billingWork with Accounting team to report potentially uncollectible debt, assist with payments and remitsFamiliarity with PECOS and submitting changes, as neededNew office EDI setup with the MACAbility to successfully work with MACs to resolve a variety of issues as they ariseManage internal user administration in MAC websitesQualificationsMinimum 2 years of Medicare hospice billing experienceStrong understanding of:Hospice claims billingNOE submission requirementsHospice benefit periods and recertificationsMedicare DDE systems (Palmetto, NGS, etc.)Hospice UB-04 billing requirementsExperience resolving Medicare claim edits and denialsKnowledge of hospice eligibility and transfer billing rulesStrong organizational and time-management skillsAbility to work independently in a fast-paced environmentProficiency in Excel and billing software systemsPreferredExperience with MatrixCare or similar EMR/billing platformsKnowledge of Medicaid and Managed Care hospice billingHospice and/or Home Health experience preferredUse of Matrixcare, Waystar preferredCompetency using computers (i.e.

web portals, downloading, uploading, scanning, etc.)Experience with MS Word and ExcelHigh attention to detailProblem SolvingAccounting mindsetAbility to adapt to a changing environment