Billing Specialist

Sangre de Cristo Community Care - Hospice; Pueblo (CO); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits package

Paid time off and holidays

Supportive, collaborative team

Meaningful work that helps patientcare

Job summary

Sangre de Cristo Community Care - Hospice is seeking a detail-oriented Billing Specialist to manage end-to-end claims for Home Health, Hospice, and Palliative Care services. You will ensure accurate coding, timely submissions, and payer follow-up, collaborating with clinical and administrative teams.

Ideal candidates have at least two years of medical billing experience, familiarity with Medicare/Medicaid billing, and strong problem-solving skills to resolve denials and maximize reimbursement

Qualifications

• Minimum of two years of medical billing experience.
• Knowledge of Medicare, Medicaid, and commercial insurance billing requirements.
• Experience with HCPCS, CPT, and ICD-10 coding.

Responsibilities

• Prepare, review, and submit electronic and paper claims accurately and on time.
• Verify coding and ensure documentation supports billed services.
• Bill Medicare, Medicaid, and other third-party payers.
• Monitor billing work queues and claim edits.
• Investigate and resolve denied or underpaid claims.
• Follow up on outstanding accounts to maximise reimbursement.
• Maintain accurate billing records in EMR and billing systems.
• Stay current with CMS regulations and HIPAA standards.

Skills

Medical billing

Attention to detail

Organizational skills

Communication

Problem-solving

Multi-tasking

HCPCS CPT ICD-10 coding

Education

High school diploma or equivalent

Associate degree in Healthcare Administration or related field

Tools

Homecare Homebase

Netsmart

EMR/billing software

Job description

Description

We are seeking a detail-oriented and motivated Billing Specialist to join our team. In this role, you will be responsible for preparing, submitting, and following up on insurance claims for Home Health, Hospice, and Palliative Care services. If you have experience with medical billing, enjoy solving reimbursement challenges, and are committed to accuracy and compliance, we'd love to hear from you.

As our Billing Specialist, you will:

• Prepare, review, and submit electronic and paper claims accurately and on time
• Verify HCPCS, CPT, and ICD-10 coding and ensure documentation supports billed services
• Bill Medicare, Medicaid, commercial insurance, and other third-party payers
• Monitor billing work queues, claim edits, and validation reports
• Investigate and resolve denied, rejected, or underpaid claims
• Follow up on outstanding accounts to maximize timely reimbursement
• Collaborate with clinical and administrative teams to resolve documentation issues affecting billing
• Maintain accurate billing records within the agency's EMR and billing systems
• Stay current with CMS regulations, payer requirements, HIPAA standards, and industry best practices
• Assist with month-end billing activities and provide cross-coverage as needed
• Develop and maintain clear process documentation for billing procedures

Why You'll Love Working Here

• Competitive compensation
• Comprehensive benefits package
• Paid time off and holidays
• Supportive, collaborative team environment
• Meaningful work that helps improve patient care

Requirements

Required Qualifications

• High school diploma or equivalent
• Minimum of two (2) years of medical billing experience
• Knowledge of Medicare, Medicaid, and commercial insurance billing requirements
• Experience with HCPCS, CPT, and ICD-10 coding
• Strong attention to detail and organizational skills
• Excellent communication and problem-solving abilities
• Ability to prioritize multiple tasks while meeting deadlines

Preferred Qualifications

• Associate degree in Healthcare Administration, Accounting, or a related field
• Experience billing for Home Health, Hospice, or Palliative Care
• Experience with Homecare Homebase, Netsmart, or similar EMR/billing software