Medical Billing Specialist

Unity Hospice; United States; A distancia; USD 25.000 - 39.000; A tiempo parcial

Descripción de la vacante

Unity Hospice is seeking a Medical Billing Specialist for a part-time, fully remote role serving Wisconsin residents. The position requires 20 hours per week with a daily schedule Monday–Friday.

Responsibilities include processing hospice and clinician billing, submitting claims, reviewing EOBs, and following up on outstanding balances. Medicare Part A/B experience and strong customer service skills are essential.

Formación

• Associate degree or equivalent required.
• Minimum 2 years medical billing experience.
• Part A and Part B Medicare billing experience required.
• 3–5 years of customer service experience.
• CMS rules knowledge in professional and facility settings.

Responsabilidades

• Prepare and submit patient and insurance billing for hospice services.
• Complete the full billing process, including claim submission and follow-up.
• Submit prior authorizations as needed.
• Review EOBs for accuracy and post payments accordingly.
• Follow up on unpaid balances and resubmit claims when needed.
• Maintain aging reports and investigate outstanding balances.
• Coordinate with insurers and patients to resolve issues.
• Provide claim status information to internal teams.

Educación

Associate degree / relevant work experience

Customer service experience

CMS rules knowledge

EMR systems proficiency

Excel & Word proficiency

Herramientas

Epic

EMR systems

Excel

Word

Descripción del empleo

Medical Billing Specialist

Part-Time | Remote – Wisconsin Residents Only | 20 Hours Per Week

At Unity, we are dedicated to honoring life by bringing peace of mind and comfort when it matters most. With over 48 years of compassionate care, we take pride in the supportive and collaborative environment we provide for our team members. By joining Unity, you will become part of a dedicated team of professionals who share our core values of Excellence, Collaboration, Integrity, Compassion, and Accountability. Together, we make a meaningful difference in the lives of our patients and their families.

The Medical Billing Specialist is responsible for calculating, processing, and collecting payments for medical procedures and services. This role performs a variety of complex billing, clerical, and accounting functions, including maintaining patient and third-party billing records, verifying and processing claims, following up on outstanding balances, resolving billing discrepancies, and coordinating payment arrangements when appropriate.

The ideal candidate has a strong understanding of Medicare billing requirements, excellent problem-solving skills, and a commitment to providing outstanding customer service to patients, insurance providers, and internal partners.

Schedule: Part-time, 20 hours per week

Hours: Monday–Friday, 4 hours per day

Work Arrangement: Fully remote; must reside in Wisconsin

Daily Schedule: A consistent 4-hour shift each day, scheduled within the hours of 7:00 a.m.–5:00 p.m.

Key Responsibilities

• Prepare and submit patient and insurance billing for Supportive Care Management, clinician visits (including physicians and APNs), and hospice services.
• Complete the full billing process, including working assigned billing queues and ensuring timely claim submission.
• Submit prior authorizations as needed.
• Enter Medicare and Medicaid Notices of Election and provide backup support for terminations and revocations.
• Complete Skilled Nursing Facility hospice pass-through billing.
• Review and post Explanations of Benefits (EOBs) for accuracy.
• Follow up on submitted claims, unpaid balances, and outstanding patient accounts. Resubmit claims and correct inaccuracies as needed.
• Maintain accurate aging reports and investigate outstanding balances in a timely manner.
• Research and resolve billing discrepancies, payment variances, disputes, reversals, and appeals.
• Coordinate with insurance carriers, patients, facilities, and other parties to resolve account issues and support timely reimbursement.
• Provide telephone support regarding claim status, claim adjudication, and basic coverage questions.
• Review secondary and tertiary payer information to support claim payment, resubmissions, and account adjustments.
• Identify and communicate contractual allowance concerns, reimbursement discrepancies, and unresolved accounts to the appropriate billing leadership.
• Maintain accurate patient and billing records in accordance with Unity's policies and procedures.
• Assist with procedure development, forms, manuals, and reporting as needed.
• Provide data and other support to management as requested.
• Perform other duties as assigned.

Why Unity?

Unity is dedicated to supporting your well-being, growth, and success with a range of valuable benefits!

Health

We provide comprehensive health benefits, including medical, dental, and vision insurance, Health Savings Accounts, and flexible spending options for medical and dependent care. On-site health risk assessments and flu shots are also available to keep you and your family well.

Life

Unity values work-life balance, offering paid time off, extended illness and injury bank, bereavement leave, an Employee Assistance Program, and fitness membership reimbursement to support your personal needs and interests outside of work.

Security

For your financial peace of mind, Unity offers a 403(b) retirement savings plan, group life insurance, voluntary life insurance, as well as accident, critical illness, and disability insurance options.

Compensation

We reward your skills and commitment with competitive pay, overtime opportunities for hourly roles, and mileage reimbursement.

Career

Grow with Unity through internal and external learning opportunities, education assistance, and leadership development programs designed to support your professional journey.

All new employees are eligible for benefits on the first of the month following their date of hire.

Requirements

Qualifications

• 1. Associate degree, relevant work experience, or an equivalent combination of education and experience.
• 2. Minimum of 2 years of medical billing experience.
• 3. Part A and Part B Medicare billing experience required.
• 4. 3–5 years of customer service experience.
• 5. Experience with CMS rules and regulations for both professional and facility settings.

Knowledge, Skills & Abilities

• Knowledge of Medicare, Medicaid, and commercial insurance billing requirements.
• Understanding of CMS billing guidelines and reimbursement requirements.
• Experience with Electronic Medical Record (EMR) systems; Epic experience preferred.
• Proficiency with Microsoft Office, particularly Excel and Word.
• Strong problem-solving, analytical, and organizational skills.
• Excellent verbal and written communication, phone, and customer service skills.
• Ability to work independently while contributing to a collaborative team environment.
• Ability to manage multiple priorities, work through frequent interruptions, and meet deadlines in a fast-paced environment.
• Strong attention to detail and commitment to accurate documentation.
• Ability to build effective relationships and collaborate with internal and external customers.
• Demonstrates initiative, self-motivation, and a professional work ethic.