Hospice Biller – Job Description

Overview:
The Hospice Biller is responsible for accurate and timely preparation, submission, and follow-up of hospice claims to Medicare, Medicaid, and private insurance companies. This role ensures compliance with billing regulations while supporting the financial health of the hospice organization.

Key Responsibilities:

• Prepare, review, and submit electronic and paper claims for hospice services.

• Verify patient insurance eligibility and coverage.

• Reconcile remittance advice and resolve denied or rejected claims.

• Monitor accounts receivable, follow up on unpaid claims, and manage collections.

• Ensure compliance with CMS (Centers for Medicare & Medicaid Services) billing requirements.

• Maintain patient billing records in the EMR and billing systems.

• Communicate with insurance carriers, patients, and families regarding billing issues.

• Collaborate with clinical and administrative staff to resolve documentation discrepancies.

• Generate financial and billing reports as requested by management.
   

Qualifications:

• High school diploma or equivalent (Associate’s degree preferred).
• 2+ years of medical billing experience, preferably in hospice or home health.

• Knowledge of hospice billing regulations, Medicare/Medicaid guidelines, and HIPAA compliance.

• Strong attention to detail and organizational skills.

• Proficiency with billing software, EMR systems, and Microsoft Office Suite. (HomeCare/HomeBase)