Addus HomeCare
Reimbursement Specialist (Hospice Collections Specialist)
Addus HomeCare, San Francisco, California, United States, 94199
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Reimbursement Specialist (Hospice Collections Specialist) Position Summary
The Reimbursement Specialist (Skilled Reimbursement/Hospice) will be responsible for billing and revenue cycle management thorough insurance benefitaville investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.
Schedule : Monday-Friday 8am to 5pm Central Standard Time (ਾਵ Remote)
>> We offer our team the best
Medical, Dental and Vision Benefits
PTO Plan
Retirement PlanningDise
Life Insurance
Accurately interprets patient insurance, prescription and other health‑related documentation
Conducts medical insurance verifications and investigations for Trainer commercial and government payors
Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution
Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
Reviews all claims for compliance and completeness for claims submissions.
Researches available alternative funding options to reduce patient’s financial burden
Handles high call volumes
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, and HIPAA regulations and requirements
Abides by all regulations, policies, procedures and standards
Performs other duties as assigned
High school diploma or equivalent is required; Undergraduate degree is preferred
5 years of healthcare collections/billing experience preferred
Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial
Ability to read and interpret EOBs, remittances, and denial codes
Effective payer follow‑up and escalation strategies
Ability to resolve claim holds, rejections, and denial
Ability to identify trends in denials or delay
Root‑cause analysis to prevent recurring issues
High attention to detail to ensure clean Projects claims
Ability to work AR reports and aging summaries accurately
Clear, professional communication with internal teams and payer reps
Possess quick and accurate Alpha/numeric data entry skills
Computer proficiency – MS Office and Web‑enabled applications strongly preferred
Maintains positive internal and external customer service relationships
Plans and organizes work effectively and ensures its completion
Meets all productivity requirements
Demonstrates team behavior and promotes a team‑oriented environment
Actively participates in Continuous Quality Improvement
Represents the organization professionally at all times
Self‑starter with exceptional organizational and follow‑through skills
Ability to work independently and in a team environment
To apply via text, text 8748 to 334-518-4376
#J-18808-Ljbffr
A great place to work.
Are you ready for new challenges and new opportunities?
Join our team!
Current job opportunities are posted here as they become available.
Subscribe to our RSS feeds to receive instant updates as new positions become available.
Reimbursement Specialist (Hospice Collections Specialist) Position Summary
The Reimbursement Specialist (Skilled Reimbursement/Hospice) will be responsible for billing and revenue cycle management thorough insurance benefitaville investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.
Schedule : Monday-Friday 8am to 5pm Central Standard Time (ਾਵ Remote)
>> We offer our team the best
Medical, Dental and Vision Benefits
PTO Plan
Retirement PlanningDise
Life Insurance
Accurately interprets patient insurance, prescription and other health‑related documentation
Conducts medical insurance verifications and investigations for Trainer commercial and government payors
Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution
Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
Reviews all claims for compliance and completeness for claims submissions.
Researches available alternative funding options to reduce patient’s financial burden
Handles high call volumes
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, and HIPAA regulations and requirements
Abides by all regulations, policies, procedures and standards
Performs other duties as assigned
High school diploma or equivalent is required; Undergraduate degree is preferred
5 years of healthcare collections/billing experience preferred
Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial
Ability to read and interpret EOBs, remittances, and denial codes
Effective payer follow‑up and escalation strategies
Ability to resolve claim holds, rejections, and denial
Ability to identify trends in denials or delay
Root‑cause analysis to prevent recurring issues
High attention to detail to ensure clean Projects claims
Ability to work AR reports and aging summaries accurately
Clear, professional communication with internal teams and payer reps
Possess quick and accurate Alpha/numeric data entry skills
Computer proficiency – MS Office and Web‑enabled applications strongly preferred
Maintains positive internal and external customer service relationships
Plans and organizes work effectively and ensures its completion
Meets all productivity requirements
Demonstrates team behavior and promotes a team‑oriented environment
Actively participates in Continuous Quality Improvement
Represents the organization professionally at all times
Self‑starter with exceptional organizational and follow‑through skills
Ability to work independently and in a team environment
To apply via text, text 8748 to 334-518-4376
#J-18808-Ljbffr