Hospice Billing Specialist - Claims & Denials

Symphony-Diagnostic-Services-No1,-LL; United States; On-site; USD 55,000 - 85,000; Full time

Job summary

Symphony-Diagnostic-Services-No1,-LL is seeking a Hospice Billing Specialist to process and submit hospice claims in alignment with Medicare and other payer guidelines. You will review claims, apply GW modifiers when necessary, and ensure accuracy before billing.

You will also handle denial management, document payer communications, and support revenue cycle activities across hospice and SNF billing domains. Strong knowledge of HIPAA rules and interdepartmental collaboration are essential.

Qualifications

• Experience with Medicare hospice billing rules and payer guidelines.
• Ability to interpret medical documentation for related/unrelated services.
• Proven track record in denial management and reimbursement recovery.

Responsibilities

• Process and submit hospice-related claims per Medicare/Medicaid/payer guidelines.
• Submit claims with GW modifiers for unrelated services.
• Review submissions for accuracy before billing and posting.
• Document denial resolutions and payer communications in the billing system.

Skills

Medicare hospice billing

GW modifier

Denial management

Revenue cycle

HIPAA compliance

Communication skills

Education

High School Diploma or GED

Tools

Billing software

Microsoft Excel

Outlook

Job description

Symphony-Diagnostic-Services-No1,-LL is seeking a Hospice Billing Specialist to process and submit hospice claims in alignment with Medicare and other payer guidelines. You will review claims, apply GW modifiers when necessary, and ensure accuracy before billing.

You will also handle denial management, document payer communications, and support revenue cycle activities across hospice and SNF billing domains. Strong knowledge of HIPAA rules and interdepartmental collaboration are essential.