Hospice Billing & Reimbursement Specialist

MedSrv, LLC.; Chattanooga (TN); On-site; USD 36,000 - 58,000; Full time

Job summary

MedSrv, LLC. in Chattanooga, TN, is seeking a Hospice Billing Representative to prepare and submit claims for hospice services and manage accounts receivable to support timely reimbursement.

This role verifies documentation, tracks NOEs and notices, resolves denials, and collaborates with agency staff and payers. Strong knowledge of EMR/billing systems, attention to detail, and professional communication are essential for success.

Qualifications

• Hospice billing knowledge, payer requirements, eligibility verification, authorizations, denials, and appeals.
• Ability to review billing documentation for completeness and identify issues.
• Strong organization, written and verbal communication skills.

Responsibilities

• Prepare and submit clean UB-04/837I claims for routine, continuous, and respite levels of care.
• Submit and track Notices of Election (NOE) and transfer/termination notices within required timeframes.
• Verify that visit documentation, physician orders, and face-to-face requirements are complete before billing; coordinate missing items with agency staff.
• Manage hospice-specific billing items, including SIA, cap tracking, room-and-board pass-through, and benefit period changes.
• Bill Medicare, Medicaid, MA, VA/Community Care, and commercial payers according to applicable requirements.
• Work accounts receivable by payer and aging bucket, prioritizing high-dollar accounts and aging risks.
• Research and resolve denials, rejections, RTP claims, and ADRs.
• File corrected claims and appeals within payer timeframes.
• Follow up with payers by phone and portal; document actions in the EMR.
• Verify eligibility and track authorizations for managed care patients.

Skills

Hospice billing knowledge

Payer requirements

Eligibility verification

Authorizations

Claims corrections

Denials & appeals

EMR/billing systems

Education

High school diploma or equivalent

Job description

MedSrv, LLC. in Chattanooga, TN, is seeking a Hospice Billing Representative to prepare and submit claims for hospice services and manage accounts receivable to support timely reimbursement.

This role verifies documentation, tracks NOEs and notices, resolves denials, and collaborates with agency staff and payers. Strong knowledge of EMR/billing systems, attention to detail, and professional communication are essential for success.