Medicaid Room & Board Billing Specialist - Hospice

Why Suncrest At 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.

DetailsWe 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 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 MACAbility to successfully work with MACs to resolve a variety of issues as they arise Manage internal user administration in MAC websites