Reimbursement Specialist II

Summary

Bristol Hospice is a nationwide hospice provider committed to delivering family-centered hospice services. The Reimbursement Specialist II processes healthcare claims, verifies payer and authorization requirements, manages accounts receivable and denials, resolves reimbursement issues, and supports compliance, reporting, and team training.

Responsibilities

• Process and submit Medicare, Medicaid, commercial insurance, and patient billing accurately and timely
• Verify patient eligibility, payer guidelines, and authorization requirements
• Review admissions, discharges, and clinical documentation to ensure billing compliance
• Monitor accounts receivable, research denials, and follow up on unpaid claims
• Handle Medicare appeals, adjustments, and reimbursement issues
• Track and resolve billing errors, bill holds, and payment discrepancies
• Maintain Medicare A & B logs and assist with quarterly reporting requirements
• Communicate regularly with branch leadership regarding missing documentation and revenue-impacting issues
• Serve as a subject matter expert for complex reimbursement and system-related questions
• Assist with onboarding and training of new reimbursement team members
• Maintain compliance with Medicare regulations, payer requirements, and company policies
• Other duties as assigned

Skills

• Minimum 3 years of healthcare billing experience
• Minimum 1 year of hospice billing experience
• Hospice Medicare billing experience
• Experience with authorization and reimbursement processes
• Knowledge of HealthCare System software
• Strong knowledge of Medicare billing regulations and reimbursement processes
• Ability to work independently while managing multiple priorities and deadlines
• Strong analytical, organizational, and problem-solving skills
• Detail-oriented with a high level of accuracy
• Proficiency in Microsoft Office applications
• Typing speed of at least 50 WPM

Qualifications

Must Haves

• Minimum 3 years of healthcare billing experience
• Minimum 1 year of hospice billing experience
• Hospice Medicare billing experience
• Experience with authorization and reimbursement processes
• Knowledge of HealthCare System software
• Strong knowledge of Medicare billing regulations and reimbursement processes
• Ability to work independently while managing multiple priorities and deadlines
• Strong analytical, organizational, and problem-solving skills
• Detail-oriented with a high level of accuracy
• Proficiency in Microsoft Office applications
• Typing speed of at least 50 WPM

Benefits

• Tuition Reimbursement
• PTO and Paid Holidays
• Medical, Dental, Vision, Life Insurance, and more
• HSA & 401(k) available
• Mileage Reimbursement for applicable positions
• Advanced training programs
• Passionate company culture committed to the highest standard of care in the hospice industry
• Fully Remote