Reimbursement Specialist I

Reimbursement Specialist I Three Oaks Hospice - 3.3 Dallas, TX Job Details 14 hours ago Qualifications Mid-level Communication skills Full Job Description Hospice Reimbursement Specialist Come join our team at Three Oaks Hospice and our sister companies— Agape Hospice Care, Sage Hospice, Primary and Palliative Care, Elevation Hospice of Colorado, Elevation Hospice, and Primary and Palliative Care of Utah. We are growing and looking for compassionate professionals who want to make a meaningful impact while building a rewarding career in hospice and palliative care. Together, we share a unified mission to deliver best-in-class care to patients and families. While each organization maintains its own identity and local culture, we operate as one connected network—using shared systems and support to create a smooth, consistent, and candidate-friendly hiring experience. Why Work for

Us:

We are committed to being an employer of choice, offering a supportive culture centered on patient care, clinical excellence, and employee success. If you're looking for purpose, stability, and growth—this is the place to be. Join our team!

Position Summary:

Responsible for the billing and collections for assigned hospice agencies within the company. Additionally, this position will be instrumental in analyzing and following up on billed medical claims to determine the appropriate course of action to resolve the claims in accordance with state and federal guidelines.

Schedule:

8am-5pm

Essential Duties:

Follow up on Commercial, Medicare, Medicare Advantage Plans, and Medicaid claims by phone calls to the insurance companies, checking websites, or online resources. Phone calls to the patient may be necessary as well. Ensures all documents are in order and submitted timely in accordance with state and federal standards. Filing appeals on denied claims when appropriate. Monitors the completion of all appropriate billing documentation on a regular basis. Obtain benefit verification and authorization for insurance benefits. Identify trends consistently and communicate findings effectively for quick resolution. Always maintains high standard of compliance in ethical and federal regulations. Performs other duties as required.

Qualifications:

High school diploma or equivalent is required; Undergraduate degree is preferred Two years medical billing experience; physician practice billing experience is a plus Understanding and knowledge of requirements of Medicare, Medicaid and Insurance billing Experience verifying benefits through various insurance systems Ability to read and understand claims to effectively review and process billing requirements Ability to exercise discretion and independent judgment Excellent oral and written communication skills Ability to work with high volume of work while maintaining attention to detail Computer proficiency in MS Office and Web enabled applications