Hospice Billing Specialist

BaneCare Management LLC; Braintree (MA); On-site; USD 34,000 - 48,000; Part time

Job summary

Longwood Hospice is seeking a part-time Hospice Billing Specialist to manage billing and claims processing for hospice services, including submission to Medicare, MassHealth, and private pay. The role requires attention to detail, organization, and knowledge of CMS/HIPAA compliance.

Responsibilities include submitting claims, monitoring AR, following up on denials, posting payments, reconciling accounts, ensuring documentation, and collaborating with clinical and admin teams.

Qualifications

• Minimum of 2 years of hospice or home health billing experience.
• Knowledge of Medicare Hospice Benefit and MassHealth billing requirements.
• Experience with claims processing, denial management, and appeals.
• Familiarity with EMR systems; MatrixCare experience preferred.
• Proficiency in Microsoft Office, including Word and Excel.
• Strong organizational, communication, and problem-solving skills.
• Ability to manage multiple priorities and meet deadlines.
• Associate’s degree in healthcare administration, Business, Medical Billing, or a related field preferred.
• Certified Professional Biller (CPB) preferred.

Responsibilities

• Process and submit hospice claims to Medicare, MassHealth, Medicare Advantage, commercial insurance, and private pay.
• Monitor claims, follow up on unpaid accounts, and resolve billing denials and rejections.
• Post payments, reconcile accounts, and maintain accurate billing records.
• Ensure billing documentation, physician certifications, and required assessments are complete.
• Monitor Medicare hospice benefit periods, recertifications, and required CMS notices.
• Work with clinical and administrative teams to address documentation and billing discrepancies.
• Maintain compliance with CMS regulations, HIPAA, and Massachusetts hospice billing requirements.
• Assist with billing audits, month-end reconciliation, and accounts receivable reporting.

Skills

Hospice billing experience

Medicare & MassHealth knowledge

Claims processing

Denial management

MS Word

MS Excel

Organizational skills

Communication skills

Problem-solving

Time management

CPB certification

Education

Associate degree in healthcare administration / medical billing

CPB certification

Tools

MatrixCare

Job description

Longwood Hospice

Part-Time 20-24hrs./week

We are seeking an organized and detail-oriented part-time Hospice Billing Specialist to manage the billing and claims process for hospice services. This position is responsible for submitting claims, monitoring accounts receivable, following up on denials, and ensuring accurate and timely billing in accordance with Medicare, MassHealth, and insurance requirements.

Responsibilities:

• Process and submit hospice claims to Medicare, MassHealth, Medicare Advantage, commercial insurance, and private pay.




• Monitor claims, follow up on unpaid accounts, and resolve billing denials and rejections.




• Post payments, reconcile accounts, and maintain accurate billing records.




• Ensure billing documentation, physician certifications, and required assessments are complete.




• Monitor Medicare hospice benefit periods, recertifications, and required CMS notices.




• Work with clinical and administrative teams to address documentation and billing discrepancies.




• Maintain compliance with CMS regulations, HIPAA, and Massachusetts hospice billing requirements.




• Assist with billing audits, month-end reconciliation, and accounts receivable reporting.

Qualifications:

• Minimum of 2 years of hospice or home health billing experience preferred.




• Knowledge of Medicare Hospice Benefit and MassHealth billing requirements.




• Experience with claims processing, denial management, and appeals.




• Familiarity with EMR systems; MatrixCare experience preferred.




• Proficiency in Microsoft Office, including Word and Excel.




• Strong organizational, communication, and problem-solving skills.




• Ability to manage multiple priorities and meet deadlines.




• Associate’s degree in healthcare administration, Business, Medical Billing, or a related field preferred.




• Certified Professional Biller (CPB) preferred.

INDHP