Hospice Billing Analyst I

It’s Just Better Here. Graham Healthcare Group is hiring for a remote Hospice Billing Analyst I to support our company brands and service lines.  This position will support the Hospice Billing Team Lead and Hospice Billing Supervisor to ensure timely and correct claims are filed with all respective payers and intermediaries for Hospice patients.  

Hospice Billing Analyst I Responsibilities:

• Bill for Medicare/Medicaid/Blue Cross and other commercial payors under Hospice guidelines

• Complete/update room & board admissions/discharges in CHAMPS, Medi System

• Obtain Medicaid rate letters from facilities when rates are updated

• Process workflow in HCHB to set up room and board

• Complete and submit HPF form to SNF within 24 hours of admission

• Manage monthly Medicaid billing for SNFs

• Communicate directly with Sales Team when SNF invoice payments are being held

• Monitor monthly Medicaid eligibility and maintain PPA updates

• Review revenue and expenses related to room and board to ensure that payments sent to facilities tie to the payments received by the insurance carrier and the accounting system

• Review all payor remits filed in OneDrive by Accounts Payable

• Prepare and submit write-off/bad debt documentation to Hospice Billing Manager by monthly deadline for Revenue Cycle

• Work closely with AP department to resolve payment issues

• Perform claims adjustment/correction in CHAMPS, Medi, Waystar, web-DENSI, and commercial payor web portals

Hospice Billing Analyst I Requirements:

• High School education or equivalent

• Minimum of one (1) year billing experience in the Hospice or Home Health industry

• Medicare FISS (Fiscal Intermediary Standard System)/DDE (Direct Data Entry) and CHAMPS experience preferred

• Experience using clinical billing software and electronic claims submission

• Knowledge of Hospice Medicare/Medicaid compliance

• Proficient in Microsoft Office

• Experience using web-DENIS

• Experience using Commercial billing software/websites

• Conscientious with attention to detail

About Graham Healthcare Group:

As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.

Join the Graham Healthcare Group and enjoy the following benefits:

• Competitive Pay:  With opportunity for advancement 

• Health and Welfare Benefits:  Various medical, dental, and vision insurance options for you and your family to choose from. 

• Supplemental Benefits: Company paid life insurance and disability benefits.  Also, pre-tax FSA and HSA plans are offered. 

• Generous PTO Packages:  15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day. 

• Retirement:  Save for your future with our company offered 401k plan and pension.

• Company-Paid Education Programs:  Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan. 

 Benefits may vary based on your employment status.