• Implements and adheres to VitalCaring’s established Hospice billing Standard Operating Procedures, ensuring compliance with Medicare Hospice Conditions of Participation and regulatory guidelines. • Prepares, reviews, and submits hospice claims accurately and timely, including Medicare, Medicaid, Managed Care, and other third-party payors. • Ensures proper billing of hospice levels of care, including: • Routine Home Care (RHC) • Continuous Home Care (CHC) • General Inpatient Care (GIP) • Inpatient Respite Care (IRC) • Verifies timely Notice of Election (NOE) submission and ensures hospice election statements, physician certifications, and recertifications are complete and compliant prior to billing. • Reviews documentation to confirm appropriate revenue codes, occurrence codes, discharge status codes, and length of stay compliance. • Identifies, investigates, and resolves billing edits, claim rejections, denials, and payment discrepancies, including coordination of benefit (COB) scenarios. • Collaborates with Branch Directors, Clinical Managers, and Admissions teams to obtain missing documentation and resolve discrepancies impacting reimbursement. • Accurately documents billing coordination notes in the EMR to ensure effective communication between branch and revenue cycle teams. • Uploads remittance advices, payor correspondence, and supporting documentation into the EMR according to company guidelines. • Monitors and reconciles payments, ensuring accurate posting and identification of underpayments or overpayments. • Meets or exceeds established productivity and quality benchmarks while maintaining accuracy and compliance. • Maintains strict confidentiality of all patient and financial data in accordance with HIPAA and company policies. • Supports audit preparedness, including ADRs, TPE reviews, and other Medicare or third-party payor audits. • Participates in ongoing education regarding hospice reimbursement updates, regulatory changes, and industry best practices. • Performs other duties as assigned to support operational and revenue cycle excellence.