Join Synergy’s dynamic revenue cycle team as a Billing & Collections Coordinator dedicated exclusively to Hospice services. We are seeking a highly organized, detail oriented professional who can own the full lifecycle of hospice billing and collections—from accurate claim submission through proactive follow up and resolution. Your work will directly support timely reimbursement, financial stability, and the agency’s ability to deliver compassionate end of life care.

About the Role

The Billing & Collections Coordinator is responsible for end‑to‑end hospice billing and accounts receivable activities. This role ensures hospice claims are prepared, submitted, and paid accurately and timely, while actively managing outstanding balances, denials, and appeals. The position requires strong knowledge of hospice billing rules, payer requirements, and persistent but professional follow up to maintain a healthy A/R and compliant revenue cycle.

Key Responsibilities

Hospice Billing & Claim Submission
• Prepare, review, and submit accurate hospice claims (UB‑04 / CMS‑1450) to Medicare, Medicaid, and commercial payers.
• Ensure correct use of revenue codes, levels of care, and billing periods in accordance with hospice regulations.
• Conduct thorough pre‑billing reviews to verify eligibility, certification periods, elections, and required documentation.
• Monitor claim status through EMR systems, clearinghouses, and payer portals to ensure timely acceptance and processing.

Accounts Receivable & Payer Follow Up
• Actively manage hospice A/R by performing targeted follow up on unpaid or delayed claims based on aging reports.
• Follow up with Medicare, Medicaid, and commercial payers to resolve payment delays and secure reimbursement.
• Reconcile posted payments against expected reimbursement and identify underpayments or discrepancies requiring action.

Denial Management & Appeals
• Research hospice claim denials to determine root cause, including authorization, documentation, coding, or timely filing issues.
• Correct, resubmit, or appeal denied claims in accordance with payer guidelines and hospice regulations.
• Prepare and submit formal appeals with supporting clinical and administrative documentation as required.
• Track appeal outcomes and adjust workflows to prevent repeat denials.

Self‑Pay & Balance Resolution
• Manage patient responsibility balances in compliance with hospice regulations and ethical collection practices.
• Generate statements and communicate with patients or responsible parties regarding balances or payment arrangements when applicable.

Documentation, Reporting & Continuous Improvement
• Document all billing and collection activity clearly and accurately within the EMR in real time.
• Identify trends in denials, delays, or payer issues and report findings to billing leadership.
• Collaborate with intake, clinical, and compliance teams to address upstream issues impacting reimbursement.

Qualifications

Required
• Minimum of 1 year of experience in medical billing, hospice billing, collections, or accounts receivable follow up.
• Working knowledge of hospice billing rules, payment structures, and payer requirements.
• Ability to read and interpret EOBs, RAs, and payer correspondence.
• Experience submitting and tracking claims through an EMR system and payer portals.
• Strong analytical, organizational, and time management skills.
• Excellent written and verbal communication skills.

Preferred
• Prior experience billing or collecting hospice claims exclusively.
• Familiarity with hospice denial appeals and Medicare hospice payment methodology.
• Experience working in a shared services or multi‑agency environment.

Skills and Competencies

• High attention to detail and claim accuracy
• Strong follow up and resolution skills
• Analytical approach to denial and payment issues
• Professional, persistent payer communication
• Commitment to compliance and ethical billing practices
• Ability to manage multiple priorities in a deadline driven environment

If you are a detail driven revenue cycle professional who values accuracy, follow through, and supporting compassionate hospice care, we invite you to apply for the Billing & Collections Coordinator role with Synergy.