Job Details

Reimbursement Specialist (Hospice Collections Specialist)

  2026-01-20     Addus HomeCare     San Francisco,CA  
Description:

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Reimbursement Specialist (Hospice Collections Specialist)

Position Summary The Reimbursement Specialist (Skilled Reimbursement/Hospice) will be responsible for billing and revenue cycle management thorough insurance benefitaville investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.

Schedule: Monday-Friday 8am to 5pm Central Standard Time (ਾਵ Remote)

>> We offer our team the best <<

  • Medical, Dental and Vision Benefits
  • PTO Plan
  • Retirement PlanningDise
  • Life Insurance
  • Accurately interprets patient insurance, prescription and other health‑related documentation
  • Conducts medical insurance verifications and investigations for Trainer commercial and government payors
  • Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution
  • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
  • Reviews all claims for compliance and completeness for claims submissions.
  • Researches available alternative funding options to reduce patient's financial burden
  • Handles high call volumes
  • Maintains a high degree of confidentiality at all times due to access to sensitive information
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows all Medicare, Medicaid, and HIPAA regulations and requirements
  • Abides by all regulations, policies, procedures and standards
  • Performs other duties as assigned
  • High school diploma or equivalent is required; Undergraduate degree is preferred
  • 5 years of healthcare collections/billing experience preferred
  • Strong understanding of hospice billing regulations (Medicare, Medicaid, commercial
  • Ability to read and interpret EOBs, remittances, and denial codes
  • Effective payer follow‑up and escalation strategies
  • Ability to resolve claim holds, rejections, and denial
  • Ability to identify trends in denials or delay
  • Root‑cause analysis to prevent recurring issues
  • High attention to detail to ensure clean Projects claims
  • Ability to work AR reports and aging summaries accurately
  • Clear, professional communication with internal teams and payer reps
  • Possess quick and accurate Alpha/numeric data entry skills
  • Computer proficiency – MS Office and Web‑enabled applications strongly preferred
  • Maintains positive internal and external customer service relationships
  • Plans and organizes work effectively and ensures its completion
  • Meets all productivity requirements
  • Demonstrates team behavior and promotes a team‑oriented environment
  • Actively participates in Continuous Quality Improvement
  • Represents the organization professionally at all times
  • Self‑starter with exceptional organizational and follow‑through skills
  • Ability to work independently and in a team environment

To apply via text, text 8748 to 334-###-####

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