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Methodist Hospice &Amp

4 jobs near Columbus, OH

Senior Revenue Cycle Specialist

Senior Revenue Cycle Specialist

Curantis Solutions

Addison, TX • Remote

Full-time

Posted 5 days ago

Job description

Position Overview
As our Senior Revenue Cycle Specialist, you'll handle the hands-on work of hospice and palliative care billing for our clients — creating and submitting claims, posting payments, reconciling accounts, and working denials to resolution. You'll use your Medicare billing expertise to keep clients' revenue cycles running cleanly and to resolve the issues that hold up payment. You'll work directly with hospice and palliative care organizations utilizing the Curantis platform—managing NOEs, levels of care billing, claim corrections, and the day-to-day realities of getting hospice claims out the door and paid.

This role thrives in our small company culture where everyone wears multiple hats, contributes ideas, and drives continuous improvement. It is a senior-level individual contributor role and does not include direct supervisory responsibilities.

Essential Functions

Claims amp; Payment Processing
  • Create, review, and submit accurate hospice claims (UB-04) for assigned clients
  • Post payments, reconcile remittances, and resolve payment variances
  • Work and appeal claim denials, rejections, and billing edits to resolution
  • File and track Notices of Election (NOE) and Notices of Termination/Revocation (NOTR) within required timeframes
  • Monitor aging, follow up on unpaid claims, and keep accounts current
Medicare Hospice Billing Knowledge
  • Apply deep knowledge of Medicare hospice billing regulations and reimbursement methodologies, including:
  • Levels of care billing (Routine Home Care, Continuous Home Care, General Inpatient, Respite)
  • Hospice cap monitoring and UB-04 claim requirements
  • Sequential billing rules and timely-filing requirements
  • Apply coding and documentation requirements correctly on claims
Client Support amp; Platform Use
  • Work within the Curantis platform to manage billing and revenue cycle tasks accurately and efficiently
  • Communicate with clients to resolve claim, payment, and account questions
  • Coordinate with payers and clearinghouses to resolve rejections and payment issues
  • Flag recurring billing or platform issues to Product and Support so they can be fixed at the source
Accuracy, Compliance amp; Improvement
  • Keep billing work compliant with Medicare hospice and palliative care requirements
  • Track trends in denials and payment delays and adjust to prevent repeat issues
  • Help maintain billing documentation, checklists, and reference materials
  • Jump in on company-wide initiatives—because in a small company, everyone contributes beyond their core role
Work Experience
  • 5+ years of hospice and/or palliative care revenue cycle or medical billing experience
  • 3+ years of direct Medicare hospice billing experience (claim creation, submission, and payment posting)
  • Hands-on experience working denials, appeals, and aging
  • Experience billing within hospice EMR/EHR systems
  • Experience at a healthcare SaaS, EMR/EHR, or healthcare technology company is preferred
  • Experience billing for multiple hospice organizations or multi-site operations is preferred
  • Experience with clearinghouses and payer portals is preferred
  • Experience using AI-enabled tools to work faster and more accurately is preferred
Education
Bachelor’s degree is preferred. CHBS (Certified Hospice Billing Specialist) or CPB (Certified Professional Biller) or CPC (Certified Professional Coder) certification is a plus. Equivalent combination of education and relevant experience may be considered.

Skills
The ideal candidate:
  • Knows hospice and palliative care billing inside and out—the regulations, the claim lifecycle, and what holds up payment
  • Is accurate and thorough — catching errors before claims go out and following issues through to resolution
  • Understands hospice and palliative care operational workflows beyond billing
  • Demonstrates a successful track record troubleshooting claim denials and reimbursement issues
  • Is an entrepreneurial self-starter who sees problems and fixes them without being asked
  • Is organized, analytical, and detail-oriented under deadline pressure
  • Is flexible and adaptable—when priorities shift or someone needs help, you pivot
  • Embraces technology and AI as productivity boosters, not threats
  • Listens and collaborates well with sales, implementation, product, and support teams
  • Demonstrates strong written and verbal communication skills
  • Has the ability to work independently in a remote environment
  • Is proficient in Microsoft Office and healthcare technology platforms

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