Senior Billing Specialist

Compass; Centreville (VA); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life/AD&D Insurance

Short‑Term Disability

Long‑Term Disability

401k

Job summary

Compass is seeking a Senior Billing Specialist to manage Medicare, Medicaid, and private insurance billing for Hospice and Palliative Care services. This on‑site role supports the Finance Director with AR, denials, and reporting, working closely with clinical teams, facilities, and external payers.

Ideal candidates bring 3–5 years in healthcare billing, strong Excel and EMR skills, and experience in nonprofit healthcare finance. Regular on‑site hours from 8:00 a.m.

Qualifications

• Proficiency with submitting and following up on Medicare, Medicaid, and private insurance claims.
• Minimum of three to five years of progressively responsible billing, accounts receivable, reimbursement, revenue cycle, or healthcare finance experience required; hospice, home health, long‑term care, or healthcare nonprofit experience preferred.
• Advanced proficiency with Excel, Word, EMR systems, billing software, and accounting software required, including the ability to prepare reports, reconcile data, research discrepancies, and maintain accurate billing records across systems.

Responsibilities

• Collect, review, and validate information necessary for submitting complete and accurate insurance claims, identifying missing documentation or eligibility concerns and coordinating timely resolution before claim submission.
• Process Notice of Election forms within required regulatory timeframes, monitor submission status, and address issues that could affect timely Medicare billing or reimbursement.
• Review and apply appropriate billing codes and payer‑specific billing requirements to support accurate claim submission and reimbursement.
• Verify Medicare, Medicaid, and private insurance eligibility.
• Maintain complete, accurate, and audit‑ready patient billing files and accounts receivable records within the EMR system and related billing or accounting platforms.
• Process Medicare, Medicaid, private insurance, and patient/client claims in a timely manner; research and resolve claim rejections, denials, billing edits, and payer requests to support timely reimbursement.
• Communicate and follow up on patient transfers from other hospices regarding billing.
• Monitor and follow up regularly on all uncollected insurance and patient receivables, analyze aging trends, document collection activity, and elevate unresolved issues to the Finance Director as appropriate.
• Prepare, analyze, and distribute routine and ad hoc billing, accounts receivable, denial, and reimbursement reports to support Finance leadership, revenue cycle monitoring, and audit preparation.
• Maintain accurate Medicare and Medicaid billing analysis reports and logs within appropriate software platforms; review data for discrepancies, trends, and reimbursement risks and coordinate corrections as needed.
• Manage patient long‑term care and life insurance billing processes, including policy review, follow‑up, invoice management, accounts receivable tracking, payer coordination, and secure property attachments when necessary.
• Verify Medicaid room and board eligibility with nursing home facilities, submit eligibility and resource changes to Medicaid, monitor responses, and communicate updates to appropriate internal departments to support accurate billing and reimbursement.
• Prepare monthly and as‑needed claim status, accounts receivable, denial, reimbursement, and billing productivity reports for review by the Finance Director and other appropriate leaders.
• Communicate with appropriate staff regarding documentation, eligibility, coding, authorization, or other information required for billing; educate staff on billing‑related data needs and follow up timely to resolve incomplete or delayed documentation.
• Create, process and follow up on invoices in accounting software for medical record release.
• Prepare the annual Medicare CAP report and assist with the annual Medicare Cost Report, financial statement audit, payer audits, and other billing‑related compliance reviews as requested.
• Assist patients and/or patient’s family member(s) or representative(s) with the understanding of our Hospice Center room and board fees and process of financial documentation.
• Assist with Hospice Center room and board invoices, as needed.
• Assist patients and/or patient’s family member(s) or representative(s) with questions regarding insurance billing and/or documentation.
• Post, allocate, and reconcile related earned income within the EMR and accounting software, researching discrepancies and coordinating corrections with Finance as needed.
• Ensure appropriate personnel are informed of any insurance billing matters that may impact bookkeeping/accounting functions or system.
• Respond to billing‑related telephone calls and inquiries and complete administrative duties directly related to billing, accounts receivable, payer follow‑up, and Finance support.
• Maintain current knowledge of Medicare, Medicaid, commercial insurance, and other payer billing requirements; monitor changes in electronic billing systems and software procedures; and maintain organized documentation to support compliance and continuity of billing operations.
• Maintains the confidentiality of employee, patient/client, family, financial, and agency information always.
• Assist the Finance Director with matters related to billing operations, accounts receivable, reimbursement analysis, accounting system coordination, payer issue resolution, and revenue cycle process improvement.
• Attend in‑services, seminars and/or workshops pertaining to the job functions, as needed.
• Attend committee meetings and external meetings related to hospice billing, reimbursement, payer relations, finance operations, or compliance, representing Compass professionally and sharing relevant updates with the Finance Director.

Skills

Medicare billing

Medicaid billing

Accounts receivable

Billing software

Excel proficiency

Analytical skills

Communication skills

HIPAA compliance

Education

Associate degree in business

Tools

EMR systems

Billing software

Accounting software

QuickBooks

Job description

Compass is a non‑profit organization providing Hospice Care, Palliative Care, and Grief Support Services in Queen Anne’s, Kent, and Caroline Counties. We would like to invite you to consider joining our team. While we feel that working in this industry is a calling and we know that it is not something that everyone will consider, we invite you, if you feel led, to review the opening below. When you accept a position with Compass you are fulfilling a role that is much larger than any one person. Our positions are designed to support one another to allow us to focus on what matters the most – providing excellent care to our patients and their family during a most sacred time.

Senior Billing Specialist

On‑site (not a remote position)

Summary of responsibilities

Responsible for the accurate, timely, and compliant completion of Medicare, Medicaid, private pay, commercial insurance, and patient/client billing for Hospice and Palliative Care services. Serves as an upper-level billing resource for complex claims, payer requirements, accounts receivable monitoring, denial follow‑up, billing analysis, and coordination with Finance, clinical teams, facilities, and external payers to support accurate reimbursement and revenue cycle integrity.

Supervision:

Reports to the Finance Director and serves as a senior billing resource within the Finance function. This position may provide technical billing guidance, workflow support, and issue resolution assistance to staff involved in documentation, claim processing, accounts receivable, and payer follow‑up.

Responsibilities:

• Collect, review, and validate information necessary for submitting complete and accurate insurance claims, identifying missing documentation or eligibility concerns and coordinating timely resolution before claim submission.
• Process Notice of Election forms within required regulatory timeframes, monitor submission status, and address issues that could affect timely Medicare billing or reimbursement.
• Review and apply appropriate billing codes and payer‑specific billing requirements to support accurate claim submission and reimbursement.
• Verify Medicare, Medicaid, and private insurance eligibility.
• Maintain complete, accurate, and audit‑ready patient billing files and accounts receivable records within the Electronic Medical Records system and related billing or accounting platforms.
• Process Medicare, Medicaid, private insurance, and patient/client claims in a timely manner; research and resolve claim rejections, denials, billing edits, and payer requests to support timely reimbursement.
• Communicate and follow up on patient transfers from other hospices regarding billing.
• Monitor and follow up regularly on all uncollected insurance and patient receivables, analyze aging trends, document collection activity, and elevate unresolved issues to the Finance Director as appropriate.
• Prepare, analyze, and distribute routine and ad hoc billing, accounts receivable, denial, and reimbursement reports to support Finance leadership, revenue cycle monitoring, and audit preparation.
• Maintain accurate Medicare and Medicaid billing analysis reports and logs within appropriate software platforms; review data for discrepancies, trends, and reimbursement risks and coordinate corrections as needed.
• Manage patient long‑term care and life insurance billing processes, including policy review, follow‑up, invoice management, accounts receivable tracking, payer coordination, and secure property attachments when necessary.
• Verify Medicaid room and board eligibility with nursing home facilities, submit eligibility and resource changes to Medicaid, monitor responses, and communicate updates to appropriate internal departments to support accurate billing and reimbursement.
• Prepare monthly and as‑needed claim status, accounts receivable, denial, reimbursement, and billing productivity reports for review by the Finance Director and other appropriate leaders.
• Communicate with appropriate staff regarding documentation, eligibility, coding, authorization, or other information required for billing; educate staff on billing‑related data needs and follow up timely to resolve incomplete or delayed documentation.
• Create, process and follow up on invoices in accounting software for medical record release.
• Prepare the annual Medicare CAP report and assist with the annual Medicare Cost Report, financial statement audit, payer audits, and other billing‑related compliance reviews as requested.
• Assist patients and/or patient’s family member(s) or representative(s) with the understanding of our Hospice Center room and board fees and process of financial documentation.
• Assist with Hospice Center room and board invoices, as needed.
• Assist patients and/or patient’s family member(s) or representative(s) with questions regarding insurance billing and/or documentation.
• Post, allocate, and reconcile related earned income within the EMR and accounting software, researching discrepancies and coordinating corrections with Finance as needed.
• Ensure appropriate personnel are informed of any insurance billing matters that may impact bookkeeping/accounting functions or system.
• Respond to billing‑related telephone calls and inquiries and complete administrative duties directly related to billing, accounts receivable, payer follow‑up, and Finance support.
• Maintain current knowledge of Medicare, Medicaid, commercial insurance, and other payer billing requirements; monitor changes in electronic billing systems and software procedures; and maintain organized documentation to support compliance and continuity of billing operations.
• Maintains the confidentiality of employee, patient/client, family, financial, and agency information always.
• Assist the Finance Director with matters related to billing operations, accounts receivable, reimbursement analysis, accounting system coordination, payer issue resolution, and revenue cycle process improvement.
• Attend in‑services, seminars and/or workshops pertaining to the job functions, as needed.
• Attend committee meetings and external meetings related to hospice billing, reimbursement, payer relations, finance operations, or compliance, representing Compass professionally and sharing relevant updates with the Finance Director.

Qualifications:

• Proficiency with submitting and following up on Medicare, Medicaid, and private insurance claims.
• Minimum of three to five years of progressively responsible billing, accounts receivable, reimbursement, revenue cycle, or healthcare finance experience required; hospice, home health, long‑term care, or healthcare nonprofit experience preferred.
• Advanced proficiency with Excel, Word, EMR systems, billing software, and accounting software required, including the ability to prepare reports, reconcile data, research discrepancies, and maintain accurate billing records across systems.
• Experience with QuickBooks or comparable accounting software preferred; ability to post payments, reconcile earned income, research variances, and support accounts receivable reporting strongly preferred.
• Strong organization, communication, analytical, problem‑solving, and follow‑through skills, with the ability to interpret payer requirements, resolve billing discrepancies, and communicate effectively with staff, patients, families, facilities, and external payers.
• Associate degree in business, accounting, healthcare administration, or a related field preferred. Equivalent combination of education and progressively responsible billing or healthcare finance experience may be considered.
• Ability to lift up to twenty‑five pounds maximum and will occasionally lift or carry items (files, manuals, binders), bend, reach, stand, walk, sit, concentrate, and pay close attention to detail.

FLSA Status:

Non‑exempt full‑time position as classified under the Fair Labor Standards Act. Standard work schedule is Monday through Friday from 8:00 a.m. to 4:30 p.m., with a 30‑minute unpaid lunch break. Additional hours may be required with prior approval based on billing deadlines, audit preparation, or other Finance department needs.

Schedule:

Regular business hours are 8:00 a.m. to 4:30 p.m., Monday through Friday. This position may occasionally require work outside regular business hours to support the finance team and/or patients with financial needs.

Work location:

This is not a remote position. It requires regular on‑site presence to meet business needs, support team collaboration, attend required meetings, and participate in events or activities that cannot be completed remotely.

Benefit offerings

Compass strives to provide employees with the most competitive benefits package in the industry. Our employees are our greatest resource, and we take pride in being able to offer comprehensive and affordable benefits to our employees and their families.

• Medical Insurance - Compass pays 85% of employee’s coverage and 50% dependent coverage
• Dental and Vision Insurance
• Life/AD&D Insurance
• Voluntary Short‑Term Disability
• Voluntary Long‑Term Disability
• Accident Insurance
• Will Prep Services
• Employee Assistance Program
• Health Savings Account (HSA)
• 5 weeks of Paid Time Off (PTO) beginning the first year
• 401k with Compass match

As an Equal Opportunity Employer (EOE), Compass Regional Hospice (Compass) employs, retains, promotes, terminates, and treats all employees and job applicants on the basis of merit, qualifications and competence without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic.