Join Our Team at Houston Hospice! At Houston Hospice, our mission is to provide compassionate, high-quality end-of-life care to patients and families throughout our community. Behind every patient experience is a dedicated team working together to ensure our patients receive the care and support they deserve. We are seeking a detail-oriented and motivated Billing Specialist to join our Finance team. This role plays an important part in maintaining accurate patient accounts, supporting timely reimbursement, and ensuring compliance with healthcare billing requirements. If you enjoy problem-solving, working with numbers, and making a meaningful contribution to a mission-driven organization, we would love to meet you! What You'll Do As our Billing Specialist, you will support the day-to-day billing and reimbursement activities for Medicare, Medicaid, commercial insurance, and private-pay accounts. Key responsibilities include: • Prepare, review, and process patient billing transactions and insurance claims to ensure accuracy and timely reimbursement. • Verify insurance eligibility, coverage, benefits, and payer information. • Review Medicare hospice benefit periods and billing requirements to support accurate claims processing. • Assist with Medicare hospice Notice of Election (NOE) and Notice of Termination/Revocation (NOTR) submissions and tracking, as assigned. • Process required Texas Medicaid documentation and support Medicaid billing activities. • Identify and resolve billing discrepancies, denied claims, missing documentation, and payment issues. • Monitor outstanding accounts receivable and follow up on unpaid or rejected claims. • Reconcile payments, review cash postings, and maintain accurate patient financial records. • Assist with hospice Medicare cap tracking, reporting, and reconciliation, as assigned. • Communicate professionally and compassionately with patients, families, and insurance providers regarding billing questions. • Collaborate with Finance, Intake, and Clinical teams to resolve billing and reimbursement concerns. • Maintain accurate billing reports and documentation while ensuring compliance with HIPAA, Medicare, Medicaid, and organizational policies. What We're Looking For Education & Experience • High school diploma or GED required. • Associate degree in Accounting, Healthcare Administration, Business, or a related field preferred. • At least one year of experience in healthcare billing, insurance verification, accounts receivable, or revenue cycle operations required. • Hospice billing experience, particularly Medicare and Medicaid reimbursement, strongly preferred. • Familiarity with Medicare hospice billing requirements, including NOE/NOTR processing, preferred. Skills & Qualifications • Strong attention to detail, accuracy, and organizational skills. • Proficiency in Microsoft Excel, Outlook, and Word. • Familiarity with electronic medical records (EMR), billing systems, and insurance payer portals. • Ability to research and resolve billing discrepancies and reimbursement issues. • Strong analytical, problem-solving, and time-management skills. • Excellent communication and customer service skills. • Ability to handle confidential financial and patient information with professionalism. • Comfortable working independently and collaborating across departments. Why Houston Hospice? At Houston Hospice, your work makes a difference. We are a nonprofit organization committed to providing compassionate care and supporting the families who depend on us. You'll have the opportunity to work alongside a dedicated team, contribute to meaningful improvements, and grow professionally in an organization focused on serving our community. Ready to make a difference? Apply today and become part of the Houston Hospice team! Houston Hospice is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all qualified applicants. IND123