Senior Billing Specialist

Compass is a non‑profit organization providing Hospice Care, Palliative Care, and Grief Support Services in Queen Anne’s, Kent, and Caroline Counties.

We would like to invite you to consider joining our team.

While we feel that working in this industry is a calling and we know that it is not something that everyone will consider, we invite you, if you feel led, to review the opening below.

When you accept a position with Compass you are fulfilling a role that is much larger than any one person. Our positions are designed to support one another to allow us to focus on what matters the most – providing excellent care to our patients and their family during a most sacred time.

Responsible for the accurate, timely, and compliant completion of Medicare, Medicaid, private pay, commercial insurance, and patient/client billing for Hospice and Palliative Care services. Serves as an upper-level billing resource for complex claims, payer requirements, accounts receivable monitoring, denial follow-up, billing analysis, and coordination with Finance, clinical teams, facilities, and external payers to support accurate reimbursement and revenue cycle integrity.

Reports to the Finance Director and serves as a senior billing resource within the Finance function. This position may provide technical billing guidance, workflow support, and issue resolution assistance to staff involved in documentation, claim processing, accounts receivable, and payer follow-up.

• Collect, review, and validate information necessary for submitting complete and accurate insurance claims, identifying missing documentation or eligibility concerns and coordinating timely resolution before claim submission.
• Process Notice of Election forms within required regulatory time frames, monitor submission status, and address issues that could affect timely Medicare billing or reimbursement.
• Review and apply appropriate billing codes and payer‑specific billing requirements to support accurate claim submission and reimbursement.
• Verify Medicare, Medicaid, and private insurance eligibility.
• Maintain complete, accurate, and audit‑ready patient billing files and accounts receivable records within the Electronic Medical Records system and related billing or accounting platforms.
• Process Medicare, Medicaid, private insurance, and patient/client claims in a timely manner; research and resolve claim rejections, denials, billing edits, and payer requests to support timely reimbursement.
• Communicate and follow up on patient transfers from other hospices regarding billing.
• Monitor and follow up regularly on all uncollected insurance and patient receivables, analyze aging trends, document collection activity, and elevate unresolved issues to the Finance Director as appropriate.
• Prepare, analyze, and distribute routine and ad hoc billing, accounts receivable, denial, and reimbursement reports to support Finance leadership, revenue cycle monitoring, and audit preparation.
• Maintain accurate Medicare and Medicaid billing analysis reports and logs within appropriate software platforms; review data for discrepancies, trends, and reimbursement risks and coordinate corrections as needed.
• Manage patient long‑term care and life insurance billing processes, including policy review, follow‑up, invoice management, accounts receivable tracking, payer coordination, and secure property attachments when necessary.
• Verify Medicaid room and board eligibility with nursing home facilities, submit eligibility and resource changes to Medicaid, monitor responses, and communicate updates to appropriate internal departments to support accurate billing and reimbursement.
• Prepare monthly and as‑needed claim status, accounts receivable,…