Hospice Biller

Hospice Biller is responsible for the accurate and timely preparation, submission, and follow-up of hospice facility claims to Medicare, Medicaid, private insurance, and other third-party payers following federal and state regulations, especially those applicable in Nevada. This role ensures the facility receives proper reimbursement for hospice services while maintaining compliance with billing guidelines and organizational policies.

Key Responsibilities:

• Prepare and submit hospice facility claims using appropriate billing codes to Medicare, Medicaid, and other insurance companies.


• Verify patient eligibility and benefit coverage.


• Review documentation to ensure services billed meet all regulatory requirements for hospice care under state guidelines.


• Monitor claim rejections and denials; initiate timely corrections, appeals, or resubmissions as needed.


• Track aging accounts receivable and ensure prompt follow-up on unpaid claims.


• Work closely with staff to ensure the accuracy of documentation and billing.


• Stay up to date on Medicaid hospice regulations and billing updates.


• Assist with audits, reports, and compliance reviews related to hospice billing.


• Maintain patient confidentiality in compliance with HIPAA and company policy.

Required Skills and Qualifications

• Minimum 2 years of experience in hospice billing or long-term care billing.


• Knowledge of hospice regulations, including Medicare and Medicaid guidelines.


• Proficiency in billing software


• Strong understanding of EOBs, remittance advice, and denial management.


• Strong attention to detail, organization, and time management skills.


• Effective written and verbal communication skills.


• Ability to work independently and collaboratively in a fast-paced environment.


• Familiarity with HIPAA regulations and patient privacy requirements.


• Basic office skills, including typing, computer use, faxing, and electronic data entry