Billing & Collections Specialist

Cedar-Valley-Hospice-1; Waterloo (IA); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Generous paid time off

Comprehensive benefits package

Public Service Loan Forgiveness (PSLF)

Job summary

Cedar Valley Hospice in Waterloo, IA is seeking a Billing & Collections Specialist to support accurate documentation, timely reimbursement, and financial operations.

You will coordinate revenue cycle activities, submit claims to Medicare/Medicaid and other payers, and review remittances with the clinical and admissions teams to ensure compliant billing.

Qualifications

• Two years of healthcare billing or revenue cycle experience preferred.
• Experience with Medicare hospice billing, Medicaid, and managed care.
• Experience with electronic medical records and billing systems.
• Strong proficiency in Microsoft Office, especially Excel.

Responsibilities

• Coordinates and manages revenue cycle functions to ensure timely, accurate billing and optimal reimbursement.
• Prepares, submits, and monitors hospice claims to Medicare, Medicaid, managed care organizations, commercial plans and other payers.
• Reviews electronic remittances, payer remittances, EFTs, and explanations of benefits for payment accuracy.
• Reviews monthly AR billing audits and follows up on discrepancies such as levels of care and certifications.
• Provides billing-related EMR support and assists staff with troubleshooting.

Skills

Revenue cycle

Billing

Accounts receivable

Payer follow-up

EMR experience

Excel

Communication

Education

Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field

Associate’s degree

Tools

EMR software

Billing software

Microsoft Excel

Job description

Join Cedar Valley Hospice, a trusted not-for-profit organization with multiple local and national awards for high-quality, exceptional end-of-life care, including the area’s only 5-star hospice for patient care (awarded by Medicare.gov).As a Billing & Collections Specialist, you’ll work collaboratively with Admissions as well as the Clinical teams to support accurate documentation, timely reimbursement, and the financial operations of Cedar Valley Hospice. You’ll be responsible for coordinating daily revenue cycle activities which include hospice billing, accounts receivable management, payer follow-up, claim resolution, reimbursement activities, and revenue cycle reporting.Why Cedar Valley Hospice?Cedar Valley Hospice’s “One Team, One Mission” mentality means we support each other and that every Cedar Valley Hospice employee plays a vital role in our organization’s story. We are the premier hospice provider serving 15 counties with offices in Waterloo, Grundy Center, Independence and Waverly, and are committed to helping patients live fully and comfortably wherever they call home.When you join our team, you'll enjoy:A supportive, team-focused cultureA family-friendly work environmentGenerous paid time offComprehensive benefits package and 401(k)Public Service Loan Forgiveness (PSLF) benefitsScheduleFull-Time (1.0 FTE)Monday – Friday | 8:00 a.m. – 4:30 p.m.What You'll DoRevenue Cycle ResponsibilitiesCoordinates and manages revenue cycle functions to ensure timely, accurate billing & optimal reimbursement.Prepares, submits, and monitors hospice claims to Medicare, Medicaid, managed care organizations, commercial insurance plans, and other third-party payers, in accordance with payer requirements and guidelines.Completes monthly billing processes in accordance with payor requirements and organizational timelines.Reviews electronic remittances, payer remittances, electronic funds transfers, and explanations of benefits for payment accuracy.Reviews monthly accounts receivable billing audits conducted by the EMR and follows up for discrepancies such as levels of care, certifications of terminal illness, scheduled services, physician visits, and other billing requirements.Maintains current knowledge of Medicare hospice billing regulations, payer requirements, and reimbursement changes.Ensures Medicare billing requirements, including Notices of Election (NOEs), Notices of Termination/Revocation (NOTRs), payer attestations, and other required submissions.Monitors patients with third-party payors for insurance prior authorizations requests.Provides billing-related EMR support and assists staff with troubleshooting.Financial Reporting SupportPrepares month-end accounts receivable journal entries, reconciliations, accruals, and related revenue cycle activities.Prepares accounts receivable, reimbursement, and billing reports as requested.Provides revenue cycle information to support budgeting and forecasting activities.Collaboration & Team ParticipationCollaborates with Admissions, Clinical Teams and Finance staff to ensure accurate billing and reimbursement.Communicates with nursing facilities and external partners regarding billing questions, documentation needs, and reimbursement issues.Provides support and education to staff regarding billing processes, payer requirements, and documentation expectations.QualificationsBachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field preferred with an Associate’s degree required.Minimum of two years of healthcare billing, accounts receivable, or revenue cycle experience preferred.Experience with Medicare hospice billing, Medicaid, managed care organizations, commercial insurance, and third-party reimbursement preferred.Prior hospice, home health, or healthcare billing experience preferred.Experience working with electronic medical records and billing systems preferred.Strong proficiency in Microsoft Office applications, including Microsoft Excel.Physical RequirementsAbility to move up to 25 pounds with or without reasonable accommodationAbility to alternate between sitting, standing, and moving throughout the workdayMust be able to travel to Cedar Vally Hospice locations as needed.Pre-employment/post-offer physical, TB, and drug screen requiredJoin Our TeamEnjoy a career where you can make a meaningful impact every day! Apply online at www.cvhospice.org/careers and help Make Each Moment Matter for patients and families.Equal Opportunity Employer StatementCedar Valley Hospice is an equal opportunity employer. Cedar Valley Hospice prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, genetic information, status as a protected veteran, political affiliation or any other characteristic protected by law.Benefits:401(k)401(k) matchingDental insuranceDisability insuranceEmployee assistance programFlexible spending accountHealth insuranceHealth savings accountLife insurancePaid sick timePaid time offVision insuranceWork Location: In person