Hospice Audit Specialist
Insight Global
Job Description
Job Description
Must-Haves:
- Audit / ADR / compliance exposure (Medicare + Medicaid)
- Experience working in Smartsheet, especially alert‐driven workflows
- Hospice experience
- Extremely detail-oriented & deadline-driven
- Strong organization and follow-up skills
- Comfortable managing high-volume documentation
Plusses:
- Hands-on experience with WellSky and/or MatrixCare
- Prior use of Telligen for Continuing Stay Reviews (CSRs)
- Familiarity with hospice billing platforms such as CGS/BGS and Inovalon
- Comfort navigating multiple EMR and billing systems simultaneously
Day-to-Day:
- Manage Continuing Stay Review (CSR) submissions to Telligen every 60 days
- Identify patients entering new benefit periods and submit required documentation
- Support 100+ patient caseload
- Track and follow all submissions via Smartsheet (alert-based) + email monitoring
- Work backlog of existing audits while managing ongoing queue
- Respond to ADRs, assist with appeals, claims follow-up, and payer calls
- Coordinate with clinical teams & billers for missing items (F2F notes, NOEs, etc.)
- Utilize systems such as CGS/BGS, Inovalon, Telligen/Telegen
Job Description:
Insight Global Health is seeking a highly detail-oriented Hospice Audit Specialist to support Continuing Stay Reviews (CSRs) and related hospice audit and revenue-cycle activities. This role is critical to ensuring timely, accurate documentation submissions and ongoing compliance with hospice regulatory requirements. The position sits within an administrative support function and offers meaningful exposure to audits, compliance, and revenue integrity.
Vacancy posted 11 days ago
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