Reimbursement Specialist II

Are you an experienced hospice biller who understands the complexities of Medicare reimbursement and takes pride in getting claims processed accurately and on time? Bristol Hospice is seeking two experienced Hospice Medicare Billers II to join our growing Reimbursement Team!

Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn.

Our Culture

Our culture is cultivated using the following values:

• Integrity: We are honest and professional.
• Trust: We count on each other.
• Excellence: We strive to always do our best and look for ways to improve and excel.
• Accountability: We accept responsibility for our actions, attitudes, and mistakes.
• Mutual Respect: We treat others the way we want to be treated.

An Average Day:

(Includes, but not limited to)

• Process and submit Medicare, Medicaid, commercial insurance, and patient billing accurately and timely
• Verify patient eligibility, payer guidelines, and authorization requirements
• Review admissions, discharges, and clinical documentation to ensure billing compliance
• Monitor accounts receivable, research denials, and follow up on unpaid claims
• Handle Medicare appeals, adjustments, and reimbursement issues
• Track and resolve billing errors, bill holds, and payment discrepancies
• Maintain Medicare A & B logs and assist with quarterly reporting requirements
• Communicate regularly with branch leadership regarding missing documentation and revenue-impacting issues
• Serve as a subject matter expert for complex reimbursement and system-related questions
• Assist with onboarding and training of new reimbursement team members
• Maintain compliance with Medicare regulations, payer requirements, and company policies
• Other duties as assigned

Requirements:

• Minimum 3 years of healthcare billing experience
• Minimum 1 year of hospice billing experience
• Hospice Medicare billing experience
• Experience with authorization and reimbursement processes
• Knowledge of HealthCare System software
• Strong knowledge of Medicare billing regulations and reimbursement processes
• Ability to work independently while managing multiple priorities and deadlines
• Strong analytical, organizational, and problem-solving skills
• Detail-oriented with a high level of accuracy
• Proficiency in Microsoft Office applications
• Typing speed of at least 50 WPM

We Got the Perks: (full-time benefits)

• Tuition Reimbursement
• PTO and Paid Holidays
• Medical, Dental, Vision, Life Insurance, and more
• HSA & 401(k) available
• Mileage Reimbursement for applicable positions
• Advanced training programs
• Passionate company culture committed to the highest standard of care in the hospice industry

Join a Team that embraces the reverence of life!

EEOC Statement

Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.