Hospice Billing Representative

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

As the healthcare industry continues to grow, so does the need for consistent, effective Revenue Cycle Management. At MedSrv, we believe it takes more than just technology and technical expertise to make a difference. It takes innovation, a willingness to adapt, and a passion to be the best. We are the difference in Revenue Cycle Management - guided by faith and committed to serving with integrity and compassion.

Position Summary

The Hospice Billing Representative prepares and submits claims and manages assigned accounts receivable for hospice services. This position verifies billing documentation, tracks required notices, resolves claim and payment issues, and coordinates with agency staff and payers to support accurate billing and timely reimbursement. The Representative monitors payer requirements, documents account activity, and reports trends and barriers to the Billing Supervisor.

Essential Duties and 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 Service Intensity Add-on (SIA), cap tracking, room-and-board pass-through, and benefit period changes.
• Bill Medicare through the Medicare Administrative Contractor (MAC) using FISS Direct Data Entry (DDE), and bill Medicaid, Medicare Advantage, VA/Community Care, and commercial payers according to applicable requirements.

Accounts Receivable

• Work assigned accounts receivable by payer and aging bucket, prioritizing high-dollar accounts and accounts at risk of exceeding timely-filing deadlines.
• Research and resolve denials, rejections, return-to-provider (RTP) claims, and additional documentation requests (ADRs).
• File corrected claims and appeals within applicable payer timeframes.
• Follow up with payers by phone and payer portal and document every action in the electronic medical record (EMR).
• Verify eligibility and benefits and track authorizations for managed care patients.

Reporting and Teamwork

• Provide the Billing Supervisor with updates regarding payer, billing, documentation, and accounts receivable trends.
• Partner with agency staff to resolve documentation holds and obtain information needed for billing and account resolution.
• Stay current on CMS, MAC, and payer rule changes and flag operational impacts to leadership.
• Protect confidential patient and client information and follow company privacy, security, and compliance procedures.
• Perform other related duties as assigned.

Education and Experience

• High school diploma or equivalent required.
• Minimum of one year of hospice experience required.

Knowledge, Skills, and Abilities

• Knowledge of hospice billing, payer requirements, eligibility verification, authorizations, claim corrections, denials, and appeals.
• Knowledge of hospice levels of care, election notices, benefit periods, SIA, cap tracking, and room-and-board billing.
• Ability to review billing documentation for completeness and identify issues requiring agency or supervisor follow-up.
• Ability to prioritize accounts based on aging, dollar value, and timely-filing risk.
• Proficiency with EMR and billing systems, payer portals, and standard office applications.
• Strong attention to detail, organization, problem-solving, and written and verbal communication skills.
• Ability to maintain confidentiality and collaborate effectively with agency staff and internal teams.

Work Environment and Physical Requirements

• Work involves sustained use of a computer, telephone, EMR, billing systems, and payer portals.
• Ability to review detailed account information, maintain accurate records, and communicate effectively with agency staff, payers, and internal teams.
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.