At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients.  We are looking for an experienced Medicaid Billing Specialist who is familiar with the intricacies of Medicaid billing rules and regulations to join our growing team.

• Actual Work/Life Balance
• Competitive Pay
• Benefits Package including Medical, Dental, and Vision insurance
• Paid Time Off
• 401k plan with employer match and 100% vesting after 90 days of employment
• A culture with an emphasis on appreciating and valuing the team member
• The opportunity to be part of a rapidly growing national company, with possible position upgrades

• Submit Notices of Election, Notices of Transfer/Revocation, etc.
• Send out clean claims on a monthly and as needed basis in a timely manner using EMR or billing software
• Ability to submit claims/NOEs using DDE entry, as needed
• Monitor unpaid claims – making phone calls and written appeals, as necessary
• Investigate and resolve hard to collect claims
• Track common claims errors and create solutions
• Work with other hospice companies for sequential billing issues
• Audit patient files as needed for accuracy in billing
• Work with Accounting team to report potentially uncollectible debt, assist with payments and remits
• Familiarity with PECOS and submitting changes, as needed
• New office EDI setup with the MAC
• Ability to successfully work with MACs to resolve a variety of issues as they arise
• Manage internal user administration in MAC websites

• 3+ years Medicaid billing experience
• Familiar with Medicaid billing rules and regulations as well as conditions of participation
• Familiarity with DDE, EMR and Medical Billing software
• Hospice and/or Home Health experience preferred
• Use of Matrixcare, Waystar preferred
• Competency using computers (i.e. web portals, downloading, uploading, scanning, etc.)
• Experience with MS Word and Excel
• High attention to detail
• Problem Solving
• Accounting mindset

• Ability to adapt to a changing environment