Addus HomeCare · 1 day ago
Reimbursement Specialist (Hospice Collections Specialist)
United States
Full-time
Remote
Mid, Senior Level
5+ years expAddus HomeCare is seeking a Reimbursement Specialist to manage billing and revenue cycle processes for hospice collections. The role involves insurance benefit investigations, claim submissions, and ensuring compliance with healthcare regulations.
Hospital & Health Care
Responsibilities
Accurately interprets patient insurance, prescription and other health-related documentation
Conducts medical insurance verifications and investigations for 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
Communicates with internal and external departments to facilitate coordination of care
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
Qualification
Required
High school diploma or equivalent
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 claims
Ability to work AR reports and aging summaries accurately
Clear, professional communication with internal teams and payer reps
Ability to explain payer issues in plain, understandable language
Possess quick and accurate Alpha/numeric data entry skills
Customer service skills
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
Preferred
Undergraduate degree
5 years of healthcare collections/billing experience
Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial)
Computer proficiency – MS Office and Web-enabled applications
Benefits
Medical, Dental and Vision Benefits
Continued Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Company
Addus HomeCare
Addus HomeCare is one of the nation's largest and fastest growing providers of personal home care and support services.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Brian Poff
Chief Financial Officer
Brad Bickham
President and Chief Operating Officer
Company data provided by crunchbase