• Implements and adheres to VitalCaring’s established Hospice billing Standard Operating Procedures, ensuring compliance with Medicare Hospice Conditions of Participation and regulatory guidelines. • Prepares, reviews, and submits hospice claims accurately and timely, including Medicare, Medicaid, Managed Care, and other third-party payors. • Ensures proper billing of hospice levels of care, including Routine Home Care (RHC), Continuous Home Care (CHC), General Inpatient Care (GIP), and Inpatient Respite Care (IRC). • Verifies timely Notice of Election (NOE) submission and ensures hospice election statements, physician certifications, and recertifications are complete and compliant prior to billing. • Reviews documentation to confirm appropriate revenue codes, occurrence codes, discharge status codes, and length of stay compliance. • Identifies, investigates, and resolves billing edits, claim rejections, denials, and payment discrepancies, including coordination of benefit (COB) scenarios. • Collaborates with Branch Directors, Clinical Managers, and Admissions teams to obtain missing documentation and resolve discrepancies impacting reimbursement. • Accurately documents billing coordination notes in the EMR to ensure effective communication between branch and revenue cycle teams. • Uploads remittance advices, payor correspondence, and supporting documentation into the EMR according to company guidelines. • Monitors and reconciles payments, ensuring accurate posting and identification of underpayments or overpayments. • Meets or exceeds established productivity and quality benchmarks while maintaining accuracy and compliance. • Maintains strict confidentiality of all patient and financial data in accordance with HIPAA and company policies. • Supports audit preparedness, including ADRs, TPE reviews, and other Medicare or third-party payor audits. • Participates in ongoing education regarding hospice reimbursement updates, regulatory changes, and industry best practices. • Performs other duties as assigned to support operational and revenue cycle excellence.

Join VitalCaring – Where Your Passion Changes Lives! Are you looking for a career where compassion meets purpose? At VitalCaring, we’re more than a home health and hospice provider—we’re a family that supports, inspires, and uplifts both our patients and our team members. Who We Are Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care. What we Offer Health & Wellness Medical, Dental & Vision Pharmacy Benefits Virtual & Mental Health Support Flexible Spending Accounts (FSAs) & Health Savings Account (HSA) Supplemental Health & Life Insurance Financial & Legal 401(k) with Company Match Employee Referral Program Prepaid Legal Plans Identity Theft Protection Work-Life Balance & Perks Paid Time Off Pet Insurance Tuition & Continuing Education Reimbursement This is a remote position eligible to those who reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, Kansas, Missouri, Arizona or Florida Job Description Summary At VitalCaring, our team members transform lives and foster hope through genuine caring. The Hospice Billing Specialist plays a vital role in supporting the financial integrity of our hospice operations by ensuring accurate and timely billing in compliance with Medicare Hospice regulations and all applicable federal, state, and commercial payor requirements. This role supports clinical and operational teams by safeguarding revenue through meticulous claim preparation, documentation review, and proactive resolution of billing issues. In alignment with our values — Trustworthy, Capable, Compassionate, Proactive, and Called — every interaction reflects our commitment to serving patients and families with excellence and integrity. Essential Job Functions & Responsibilities - Implements and adheres to VitalCaring’s established Hospice billing Standard Operating Procedures, ensuring compliance with Medicare Hospice Conditions of Participation and regulatory guidelines. - Prepares, reviews, and submits hospice claims accurately and timely, including Medicare, Medicaid, Managed Care, and other third-party payors. - Ensures proper billing of hospice levels of care, including: - Routine Home Care (RHC) - Continuous Home Care (CHC) - General Inpatient Care (GIP) - Inpatient Respite Care (IRC) - Verifies timely Notice of Election (NOE) submission and ensures hospice election statements, physician certifications, and recertifications are complete and compliant prior to billing. - Reviews documentation to confirm appropriate revenue codes, occurrence codes, discharge status codes, and length of stay compliance. - Identifies, investigates, and resolves billing edits, claim rejections, denials, and payment discrepancies, including coordination of benefit (COB) scenarios. - Collaborates with Branch Directors, Clinical Managers, and Admissions teams to obtain missing documentation and resolve discrepancies impacting reimbursement. - Accurately documents billing coordination notes in the EMR to ensure effective communication between branch and revenue cycle teams. - Uploads remittance advices, payor correspondence, and supporting documentation into the EMR according to company guidelines. - Monitors and reconciles payments, ensuring accurate posting and identification of underpayments or overpayments. - Meets or exceeds established productivity and quality benchmarks while maintaining accuracy and compliance. - Maintains strict confidentiality of all patient and financial data in accordance with HIPAA and company policies. - Supports audit preparedness, including ADRs, TPE reviews, and other Medicare or third-party payor audits. - Participates in ongoing education regarding hospice reimbursement updates, regulatory changes, and industry best practices. - Performs other duties as assigned to support operational and revenue cycle excellence. Position Qualifications - Minimum of one (1) year of healthcare billing experience, with hospice billing strongly preferred. - Working knowledge of: - Medicare Hospice reimbursement regulations - Notice of Election (NOE) requirements - Levels of care billing (RHC, CHC, GIP, IRC) - Denial management and appeals processes - Electronic Medical Records (EMR) systems - High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Business, or related field preferred. - Strong analytical skills and attention to detail with the ability to manage multiple billing cycles simultaneously. - Proficiency in Microsoft Office and billing software systems. - Reliable transportation (if position requires branch presence).

Role Description Central Research is actively seeking an Account Adjustment Specialist to support our Federal Government contract in Hendersonville, TN. The Account Adjustment Specialist will: - Review student loan balances and conduct account adjustments. - Perform reconciliations and process payments. - Ensure the customer’s loan balance is accurate. - Provide tax reporting and monthly billing statements. - Verify program eligibility and support all student loan servicing programs. - Deliver superior quality customer service and meet quality assurance requirements. - Adhere to all state and federal regulations. Qualifications - High School diploma required. - 12 months experience in administrative support in the accounting, banking, lending, or student loan industry. - 12 months computer experience in a business environment. - Understanding of the basic principles of accounting. Requirements - Possess the ability to obtain and maintain a Public Trust security clearance (Federal 5C). - Must NOT be in default on any Federal Student Loans or defaulted loans guaranteed by the federal government. - Must be a US Citizen. - Felonies or misdemeanors within the last 7 years could affect security clearance. - Applicants with non-medical Collections exceeding $7,500 could also affect security clearance. - Qualified applicants must reside within a 75-mile radius of Hendersonville, TN. - Current CRI employees not eligible to apply at this time. Benefits - Account Adjustment Specialists earn $18.50 per hour. - Employees earn $4.93 per hour paid (capped at 40 hours per week) in Health and Welfare. - Health and Welfare covers the full cost of employee-only medical, dental, and vision premiums for a 40-hour week. Training New hires will be trained to understand federal regulations and company policies, including: - Use of customer relationship tools for personalized interaction. - Remote paid training curriculum lasting up to 5-6 weeks. - Training hours: 8am to 5pm (Central Time), Monday through Friday. - Post-training, new hires will be assigned a 40-hour scheduled shift during operational hours. Contact Center hours of operation: - Monday through Friday: 7am – 4pm Central Time - Monday through Friday: 8am – 5pm Central Time Essential Responsibilities & Job Duties - Record transactions and adjustments by posting, monitoring, and verifying data and computerized records. - Audit and review loan balance data, make account adjustments, process reconciliations, and payments. - Conduct a variety of student loan balance reconciliations. - Assist with processing Direct Loan Consolidations. - Adhere to applicable policies and Federal and State regulations. - Provide reporting on multiple program requirements. - Access and gather data from multiple databases. - Process on and off boarding of student loan transfers. - Proper servicing of borrower accounts through internal requests and email requests. - Ensure the highest levels of privacy and security while providing exceptional customer service. - Assist with borrower program concerns, operational requests, account adjustment needs, or compliance concerns. - Obtain production and compliance goals. - Report any compliance issues to leadership. - Participate in continuing education programs to stay abreast of changes in federal and state laws and regulations. - Demonstrate reliability through attendance and promptness. Preferred Requirements (Education and Experience) - Bachelor's degree in accounting, Finance, or Business. - 12 months of experience working on a student loan contract. - 12 months of experience working in a Call Center. - 12 months of experience with Microsoft Office (Outlook, Word, Excel, and OneNote). - Experience reviewing contracts and application documents for completion and accuracy. - 12 months of working in payment processing or performing accounting functions. Minimum Requirements (Knowledge, Skills & Abilities) - Work independently in a remote environment. - Excellent communication skills, both written and verbal. - Outstanding attendance and punctuality. - Detail-oriented and capable of multitasking with excellent time management. - Ability to work effectively both independently and as part of a team. - Proficiency in using customer support software and Microsoft Office Suite. - Strong computer skills (basic troubleshooting, fast and accurate typing, and using web browsers). - Ability to adjust quickly to changing business needs. - Must possess reliable high-speed internet using a hard-wired ethernet connection. - Must possess reliable transportation to a CRI facility throughout the course of employment. - Must pass an online customer service assessment test. Equal Opportunity Employer Equal Opportunity Employer, including veterans and individuals with disabilities. Know Your Rights Poster can be found here . NOTE: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job. It is intended to describe the general nature and work responsibilities of the position. This job description and the duties of this position are subject to change, modification, and addition as deemed necessary by the Company. We are currently unable to consider applicants residing in California, New York, Oregon, Washington, Illinois, and the city of Philadelphia. Thank you for your understanding.

• Generate, process, and manage invoices for subscription-based services, including renewals and usage-based billing (e.g., Maxio, Stripe, Sage Intacct) • Process upgrades, downgrades, renewals and cancellations • Reconcile billing data with CRM (e.g., Salesforce, Domo) and subscription management systems • Maintain and update customer billing accounts, pricing plans, and contact information • Monitor accounts receivable and follow up on overdue invoices and payment status with customers • Resolve customer billing inquiries, disputes, and discrepancies • Assist in implementing and improving billing systems and automation • Participate in weekly Billing Team meetings to discuss deadlines, billing-related topics, billing questions, etc. • Participate in monthly financial close by working with team to complete billing and AR-related tasks timely, as assigned • Other duties as assigned