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Job description
Hospice Medical Billing Specialist
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
Worksite address
walnut creek, CA, 94598, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.