Director of Hospice Billing
Catholic Community Health
Job Description
Job Description
Description:
Position Summary
Catholic Community Health is seeking an organized, accountable, and detail-oriented Director of Hospice Billing to oversee key business-office functions supporting both Hospice and Home Care. This position leads revenue-cycle and administrative operations, manages payer credentialing and regulatory renewals, and helps ensure claims, payments, accounts receivable, records, licenses, and business-office processes are accurate, timely, and compliant.
Key Responsibilities
- Oversee billing and accounts receivable operations for Hospice and Home Care, including claim submission, payment posting, denial follow-up, aging review, client balances, collections, credits, adjustments, and timely-filing requirements.
- Monitor accounts receivable aging, billing performance, and financial reports; identify discrepancies, trends, unresolved balances, and risks requiring corrective action or leadership attention.
- Develop and implement strategies to reduce outstanding accounts receivable, resolve denied or unpaid claims, and improve revenue-cycle performance.
- Ensure required Medicare, Medicaid, commercial-payer, client, and organizational billing documentation is accurate, complete, and maintained appropriately.
- Coordinate deposits and accounts-payable functions, maintain supporting documentation, and ensure transactions are routed and recorded accurately.
- Serve as an administrator for applicable payer, enrollment, payment, and verification portals.
- Maintain appropriate portal access, user permissions, administrator assignments, and organizational information across payer systems.
- Manage Home Care and Hospice business licensure, renewals, registrations, certifications, and required regulatory submissions.
- Complete or coordinate annual Hospice recertification and licensure requirements.
- Order and monitor office supplies using sound purchasing and inventory practices.
- Collaborate with executive leadership, clinical and operational leaders, payers, vendors, and external partners to resolve billing and business-office issues.
- Maintain confidentiality and comply with HIPAA, payer requirements, accreditation standards, and organizational policies.
- Perform other duties as assigned by the Executive Director/Administrator.
- Associate degree in business administration, healthcare administration, accounting, finance, or a related field required; bachelor’s degree preferred. Relevant experience may be considered in place of formal education.
- At least three years of experience in healthcare billing, revenue cycle, payer enrollment, credentialing, accounts receivable, or business-office operations.
- Direct accounts receivable experience, including aging review, collections, denial follow-up, payment reconciliation, and resolution of outstanding balances, is highly preferred.
- Hospice billing or revenue-cycle experience is highly preferred. Experience in home care, home health, or another post-acute healthcare setting is also strongly preferred.
- Previous experience supervising or directing administrative or billing staff.
- Working knowledge of Medicare, Medicaid, commercial insurance, accounts receivable, payer portals, credentialing, and timely-filing requirements.
- Strong organizational, analytical, and problem-solving skills, with the ability to manage recurring deadlines and multiple service lines.
- Excellent written and verbal communication skills and the ability to communicate professionally with payers, clients, families, staff, and leadership.
- High level of integrity, discretion, accountability, follow-through, and attention to detail.
- Proficiency with Microsoft Office and electronic healthcare, billing, accounting, and payer systems.
- Commitment to the mission and values of Catholic Community Hospice and Catholic Community Home Care.
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