
1001 - 5000 employees
đĽ Healthcare
đĽ B2C
đ§ Wellness
Healthcare ⢠B2C ⢠Wellness
VitalCaring Group is a provider of home-based healthcare services including home health and hospice care, focused on delivering compassionate, personalized medical, emotional, and spiritual support to patients in their homes. The organization emphasizes trust, dignity, and improving quality of life for patientsâparticularly those with chronic, post-acute, or life-limiting conditionsâand collaborates with physicians to create individualized care plans. VitalCaring also publishes news and case studies about outcomes, and has run pilot programs using AI to improve cognitive care and reduce caregiver burden.
đĽ 2 minutes ago
đ Alabama, Arizona, +7 more states â Remote
â° Full Time
đ˘ Junior
đ Billing Specialist
đŤđ¨âđ No degree required
đť Ghost score 10%
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1001 - 5000 employees
đĽ Healthcare
đĽ B2C
đ§ Wellness
Healthcare ⢠B2C ⢠Wellness
VitalCaring Group is a provider of home-based healthcare services including home health and hospice care, focused on delivering compassionate, personalized medical, emotional, and spiritual support to patients in their homes. The organization emphasizes trust, dignity, and improving quality of life for patientsâparticularly those with chronic, post-acute, or life-limiting conditionsâand collaborates with physicians to create individualized care plans. VitalCaring also publishes news and case studies about outcomes, and has run pilot programs using AI to improve cognitive care and reduce caregiver burden.
⢠Prepare, review, and submit accurate, timely hospice claims for Medicare, Medicaid, managed care, and commercial payors. ⢠Ensure appropriate billing across Routine Home Care (RHC), Continuous Home Care (CHC), General Inpatient Care (GIP), and Inpatient Respite Care (IRC). ⢠Follow established billing procedures and applicable reimbursement regulations. ⢠Identify and resolve billing edits, claim rejections, denials, and payment discrepancies. ⢠Monitor payments, reconcile accounts, and identify potential underpayments or overpayments. ⢠Review documentation including Notices of Election (NOEs), certifications, recertifications, revenue codes, and discharge information. ⢠Collaborate with branch leadership, clinical teams, and admissions to resolve documentation gaps and reimbursement challenges. ⢠Maintain accurate billing records and communication within the Electronic Medical Record (EMR). ⢠Support audit readiness, including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE) reviews, and other payor audits. ⢠Maintain productivity, quality, compliance, and confidentiality standards. ⢠Stay current on Medicare hospice reimbursement changes and industry best practices. ⢠Contribute to a proactive, solutions-focused revenue cycle team.
⢠At least 1 year of healthcare billing experience, including hospice billing experience. ⢠Working knowledge of Medicare hospice billing and reimbursement requirements. ⢠Familiarity with NOEs, hospice levels of care, claim submission, and denial resolution. ⢠Experience using EMR systems and healthcare billing software. ⢠Strong attention to detail, analytical thinking, and problem-solving skills. ⢠Ability to manage competing priorities while maintaining accuracy and meeting deadlines. ⢠Proficiency in Microsoft Office. ⢠High school diploma or equivalent. ⢠Candidates must reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, Kansas, Missouri, Arizona, or Florida.
⢠Medical, Dental, and Vision coverage ⢠Pharmacy benefits ⢠Virtual care and mental health support ⢠Flexible Spending Accounts (FSA) and Health Savings Account (HSA) ⢠Supplemental health and life insurance ⢠401(k) with company match ⢠Employee referral program ⢠Prepaid legal services ⢠Identity theft protection ⢠Generous paid time off ⢠Pet insurance ⢠Tuition and continuing education reimbursement
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