Billing Representative, Hospice

🕒 September 23

🇺🇸 United States – Remote

💵 $18 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 1%

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<TridentCare> TridentCare is a national provider of mobile and on-site diagnostic healthcare services, delivering digital X‑ray, ultrasound, EKG, laboratory/phlebotomy, and vascular access (PICC) services directly to patients in skilled nursing facilities, assisted living and hospice, at-home settings, correctional/behavioral facilities, government agencies, and commercial sites. The company emphasizes licensed, certified clinicians, strict regulatory accreditations (ACR, CLIA, CAP, COLA), and technology-enabled workflows via its TridentConnect EMR integrations and HITRUST‑certified platforms to streamline diagnostics and protect patient data. TridentCare partners primarily with healthcare providers and agencies to expand access, improve operational efficiency, and maintain continuity of care.

📋 Description

• Process and submit hospice-related claims in accordance with Medicare, Medicaid, and payer billing guidelines • Submit claims with appropriate modifiers, including the GW modifier for services unrelated to the patient's terminal hospice diagnosis • Review claim submissions for accuracy and completeness • Verify payer information and billing requirements for correct claim routing and reimbursement • Research, analyze, and resolve B9 denial claims • Submit claims to appropriate hospice payers for reimbursement when required • Document denial resolution activities and payer communications in the billing system • Review correspondence, medical documentation, and supporting records to determine whether services are related or unrelated to the patient's hospice diagnosis • Coordinate with hospice providers and clinical staff to obtain supporting documentation • Maintain documentation supporting billing and reimbursement decisions • Ensure proper financial responsibility is assigned based on determination outcomes • Ensure hospice facilities receive accurate and timely charges on client invoices • Bill charges back to skilled nursing facilities when financially responsible • Ensure all billable services are invoiced appropriately • Maintain timely turnaround of bill-back activities with proper invoice notes • Enter detailed, accurate, and compliant account notes and maintain complete audit trails • Save, organize, and retain supporting documentation in accordance with company policies and regulatory requirements • Review documentation before claim submission, invoicing, and reimbursement processing • Support internal and external audits with requested documentation and claim history records • Adhere to CMS, HIPAA, Medicare, and organizational compliance requirements • Collaborate with billing leadership, hospices, facilities, payers, Sales Teams, and internal departments to improve efficiency and reimbursement outcomes • Maintain productivity, quality, and compliance standards • Support coworkers, share best practices, and contribute to department goals • Perform other related duties and projects as assigned

🎯 Requirements

• High School Diploma or GED required • Minimum of 2-3 years of healthcare billing experience required • Experience with Medicare claims processing, billing to appropriate hospice payers, denial management, and reimbursement recovery preferred • Experience working with skilled nursing facilities and hospice providers preferred • Hospice billing experience is a plus but not required • Strong knowledge of Medicare hospice billing regulations and reimbursement guidelines • Understanding of GW modifier requirements and hospice-related billing practices • Knowledge of B9 denial processing and claims resolution procedures • Experience billing and submitting claims to the appropriate hospice payer • Ability to interpret medical documentation and determine related versus unrelated hospice services • Strong understanding of healthcare billing and revenue cycle principles • Knowledge of HIPAA, CMS regulations, and compliance requirements • Excellent analytical, organizational, and problem-solving skills • Excellent customer service and interpersonal skills • Ability to communicate professionally and effectively with external customers, internal customers, hospice providers, skilled nursing facilities, clients, and Sales Teams • Strong written and verbal communication skills • Ability to collaborate effectively across departments, support team initiatives, share knowledge, and contribute to a positive work environment • Demonstrated ability to build and maintain productive working relationships with coworkers, leadership, Sales Teams, and business partners • Proficiency in billing systems, Microsoft Excel, Outlook, and other business applications • Ability to prioritize workload and meet deadlines in a fast-paced environment

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