Billing and Revenue Cycle Specialist – Hospice

Overview

A healthcare revenue cycle services provider specializing in hospice and home health agencies is seeking a Hospice Billing and Revenue Cycle Specialist. This role involves managing the full hospice revenue cycle, including claims submission, payment posting, denial management, and reimbursement optimization. The specialist will ensure compliance with Medicare, Medicaid, room-and-board, and commercial payer regulations while collaborating with clients and internal teams to streamline processes and improve cash flow.

Responsibilities

• Prepare, submit, and track hospice claims accurately for Medicare, Medicaid, Medicaid Room and Board, and commercial payors to ensure timely reimbursement.
• Manage denials, appeals, and redeterminations by working with payors and clients to resolve billing issues efficiently.
• Reconcile and monitor accounts receivable (AR), identify trends, and support revenue optimization for hospice agencies.
• Ensure compliance with CMS regulations, HIPAA standards, and hospice-specific billing policies across multiple states and EMR systems.
• Provide daily reporting, revenue cycle analysis, and process improvement recommendations to support smooth operations and enhance cash flow.

Requirements

• 1–3 years of hospice billing experience with solid knowledge of Medicare, Medicaid, Room and Board, and commercial payor rules.
• Experience with multistate billing and multiple EMR systems preferred.
• Proficiency in Microsoft Suite (Excel, Word, Outlook), cloud-based platforms, Zoom, and payor portals.
• Strong written and verbal communication skills and problem-solving abilities.
• US-based eligibility to work remotely with occasional travel.
• Preferred certifications or licenses in Medical Billing, Revenue Cycle Management (RCM), or Hospice Billing.
• Strong attention to detail and ability to manage multiple priorities across client accounts.

Compensation & Benefits

• Competitive salary range: $42,000 to $58,000+ annually, depending on experience.
• Comprehensive health coverage including medical, dental, and vision insurance.
• 401(k) retirement plan with employer matching.
• Life and disability insurance for financial security.
• Health savings and flexible spending accounts.
• Paid time off, flexible scheduling, and remote work options.

Location

This is a remote position based in the United States with occasional travel required.