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Medicare Billing Specialist

2 months ago

Sandy Utah, United States Suncrest Hospice Full time
About Suncrest Hospice

Suncrest Hospice is a leading provider of compassionate end-of-life care, dedicated to delivering exceptional service and support to our patients and their families.

Job Summary

We are seeking an experienced Medicare Billing Specialist to join our team. As a key member of our billing department, you will be responsible for ensuring accurate and timely submission of Medicare claims, resolving billing issues, and maintaining compliance with regulatory requirements.

Key Responsibilities:
  • Submit Notices of Election, Notices of Transfer/Revocation, and other necessary documents in a timely manner
  • Send out clean claims on a monthly and as needed basis using EMR or billing software
  • Monitor unpaid claims, making phone calls and written appeals as necessary
  • Investigate and resolve hard-to-collect claims
  • Track common claims errors and create solutions
  • Work with other hospice companies for sequential billing issues
  • Audit patient files for accuracy in billing
  • Collaborate with the Accounting team to report potentially uncollectible debt and assist with payments and remits
  • Familiarity with PECOS and submitting changes as needed
  • New office EDI setup with the MAC
  • Ability to successfully work with MACs to resolve a variety of issues as they arise
  • Manage internal user administration in MAC websites
Requirements:
  • 3+ years of Medicare billing experience
  • Familiarity with Medicare billing rules and regulations, as well as conditions of participation
  • Familiarity with DDE, EMR, and Medical Billing software
  • Hospice and/or Home Health experience preferred
  • Use of Matrixcare, Waystar preferred
  • Competency using computers (i.e., web portals, downloading, uploading, scanning, etc.)
  • Experience with MS Word and Excel
  • High attention to detail
  • Problem-solving skills
  • Accounting mindset
  • Ability to adapt to a changing environment