Hospice Medical Billing Specialist

Alamedahospice; Walnut Creek (CA); On-site; USD 35,817 - 44,083; Full time

Benefits offered by this job

Supportive team environment

Opportunities for professional growth

Meaningful work supporting patient care

Job summary

A community-focused hospice provider is seeking an experienced Hospice Medical Billing Specialist to manage revenue cycle operations. The role includes ensuring accurate billing and compliance with Medicare, Medi-Cal, and private payors. Ideal candidates are detail-oriented with at least two years of hospice billing experience. This position offers a supportive environment and opportunities for professional growth. The location is in-person in Walnut Creek, California, with competitive pay ranging from $26 to $32 per hour.

Qualifications

• Minimum 2 years of hospice medical billing experience.
• Strong understanding of hospice billing regulations and payer requirements.
• Ability to maintain strict HIPAA compliance.

Responsibilities

• Prepare and submit accurate monthly hospice claims to payors.
• Apply appropriate ICD-10, CPT, and HCPCS codes.
• Research, appeal, and resubmit denied or unpaid claims.

Skills

Attention to detail

Organizational skills

Communication skills

EMR systems proficiency

Knowledge of hospice billing regulations

Education

High school diploma or equivalent

Certification in Medical Billing and/or Collections

Tools

EMR systems

Job description

Description

Hospice Medical Billing Specialist

Pay: $26–$32 per hour
Schedule: Full Time, 40 hours/week
Location: In-person (Walnut Creek / Bay Area)

Overview

Alameda Care Hospice is a compassionate, community-focused hospice provider serving patients and families throughout the Bay Area. We are committed to high-quality, patient-centered care while maintaining operational excellence and regulatory compliance.

We are seeking an experienced Hospice Medical Billing Specialist to manage our revenue cycle operations. This role is critical for ensuring accurate billing, timely reimbursement, and regulatory compliance across Medicare, Medi-Cal, VA, and private payors.

The ideal candidate is detail-oriented, proactive, and experienced in hospice-specific billing processes. This is an excellent opportunity to join a collaborative, mission-driven team and directly contribute to the financial health and sustainability of our organization.

Key Responsibilities

Claims & Billing Management

• Prepare, review, and submit accurate monthly hospice claims to Medicare, Medi-Cal, VA, and private insurance payors
• Manage Letters of Agreement (LOAs) for non-contracted payors
• Ensure timely billing in accordance with hospice reimbursement guidelines

Compliance & Coding

• Apply appropriate ICD-10, CPT, and HCPCS codes
• Maintain compliance with CMS, CHAP, and state hospice regulations
• Monitor regulatory updates and billing requirements affecting hospice services

NOE & Hospice-Specific Processes

• File and track Notices of Election (NOEs) and manage hospice election timelines
• Address late NOEs and coordinate corrective actions as needed

Denials & Revenue Recovery

• Research, appeal, and resubmit denied or unpaid claims
• Analyze denial trends and implement corrective strategies
• Identify potential funding sources for indigent or unpaid claims when applicable

Accounts Receivable & Reporting

• Monitor daily, weekly, and monthly A/R aging reports
• Track and post payments, adjustments, and contractual write-offs
• Review billing and collection reports to meet or exceed collection goals

Collaboration & Documentation Support

• Work closely with clinical and administrative staff to ensure documentation (CTIs, certifications, election forms) supports billing
• Attend staff meetings and required in-services

What We Offer

• Supportive, collaborative team environment
• Meaningful work that directly supports patient care
• Opportunities for professional growth within a respected, mission-driven hospice organization

Requirements

Required Qualifications

• Minimum 2 years of hospice medical billing experience
• Certification in Medical Billing and/or Collections
• High school diploma or equivalent
• Proficiency with EMR systems (hospice EMR experience preferred)
• Strong understanding of hospice billing regulations and payer requirements
• Excellent organizational, time-management, and follow-through skills
• Strong verbal and written communication skills with staff, vendors, and payors
• Attention to detail and commitment to accuracy
• Ability to maintain strict HIPAA compliance
• Dependable, ethical, and aligned with Alameda Care Hospice’s mission
• Valid driver’s license, reliable transportation, and current auto insurance