Description Hospice Medical Billing Specialist Pay: $26–$32 per hour Schedule: Full Time, 40 hours/week Location: In-person (Walnut Creek / Bay Area) Overview Alameda Care Hospice is a compassionate, community-focused hospice provider serving patients and families throughout the Bay Area. We are committed to high-quality, patient-centered care while maintaining operational excellence and regulatory compliance. We are seeking an experienced Hospice Medical Billing Specialist to manage our revenue cycle operations. This role is critical for ensuring accurate billing, timely reimbursement, and regulatory compliance across Medicare, Medi-Cal, VA, and private payors. The ideal candidate is detail-oriented, proactive, and experienced in hospice-specific billing processes. This is an excellent opportunity to join a collaborative, mission-driven team and directly contribute to the financial health and sustainability of our organization. Key Responsibilities Claims & Billing Management • Prepare, review, and submit accurate monthly hospice claims to Medicare, Medi-Cal, VA, and private insurance payors • Manage Letters of Agreement (LOAs) for non-contracted payors • Ensure timely billing in accordance with hospice reimbursement guidelines Compliance & Coding • Apply appropriate ICD-10, CPT, and HCPCS codes • Maintain compliance with CMS, CHAP, and state hospice regulations • Monitor regulatory updates and billing requirements affecting hospice services NOE & Hospice-Specific Processes • File and track Notices of Election (NOEs) and manage hospice election timelines • Address late NOEs and coordinate corrective actions as needed Denials & Revenue Recovery • Research, appeal, and resubmit denied or unpaid claims • Analyze denial trends and implement corrective strategies • Identify potential funding sources for indigent or unpaid claims when applicable Accounts Receivable & Reporting • Monitor daily, weekly, and monthly A/R aging reports • Track and post payments, adjustments, and contractual write-offs • Review billing and collection reports to meet or exceed collection goals Collaboration & Documentation Support • Work closely with clinical and administrative staff to ensure documentation (CTIs, certifications, election forms) supports billing • Attend staff meetings and required in-services What We Offer • Supportive, collaborative team environment • Meaningful work that directly supports patient care • Opportunities for professional growth within a respected, mission-driven hospice organization Requirements Required Qualifications • Minimum 2 years of hospice medical billing experience • Certification in Medical Billing and/or Collections • High school diploma or equivalent • Proficiency with EMR systems (hospice EMR experience preferred) • Strong understanding of hospice billing regulations and payer requirements • Excellent organizational, time-management, and follow-through skills • Strong verbal and written communication skills with staff, vendors, and payors • Attention to detail and commitment to accuracy • Ability to maintain strict HIPAA compliance • Dependable, ethical, and aligned with Alameda Care Hospice’s mission • Valid driver’s license, reliable transportation, and current auto insurance