Job Type

Full-time

Description

Our people are the difference.

Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of the patient's home - providing the physical, emotional, and spiritual support that allows a patient to focus on living.

At Transitions, you don't have to imagine! Apply now to join our team and experience the Transitions difference!

As a Hospice Billing Cash Applications Specialist at Transitions Care you are responsible for ensuing accurate and timely posting of payments from all patient-related payors.

Major Responsibilities

Payment Processing & Reconciliation

• Ensure timely and accurate entry of payments received from third-party payers.
• Reconcile daily cash receipts from insurance carriers with internal databases and submit reports to the supervisor.
• Maintain and update the Cash Sheet to ensure accurate financial tracking.

Remittance & Billing Compliance

• Store all remittance advices promptly and maintain organized records.
• Work with EOBs, EOPs, and ERAs, ensuring proper understanding of RARC and CARC coding.
• Conduct Zero Pay Reviews to identify and address unpaid claims.
• Adhere to proper billing practices and payer regulations to ensure compliance.

Enrollment & Insurance Coordination

• Process EFT and ERA enrollments as needed.
• Recognize and apply the correct order of payer coordination for claims processing.

Problem-Solving & Follow-Up

• Use problem-solving skills to follow up on commercial insurance, Medicare, Medicaid, and Managed Care remittance advice.
• Ensure timely resolution of claim issues and denials by understanding adjustment and remark codes.

Administrative & Support Responsibilities

• Assist with accounts payable tasks as needed.
• Update and maintain Long-Term Care (LTC) reports.
• Answer phone inquiries as necessary, providing professional support.
• Report to assigned work sites and shifts on time, fully prepared to fulfill job responsibilities, with flexibility as directed by the supervisor

Benefits We Offer

• Competitive salary
• Medical / Dental / Vision Insurance plans
• Life Insurance
• 401(k) matching
• Company Equipment
• Paid Time Off

Requirements

• Experience in cash posting, medical billing, or healthcare finance preferred.
• Strong attention to detail and ability to maintain accurate financial records.
• Familiarity with EOBs, ERAs, and insurance payment processes is a plus.
• Ability to work independently while collaborating with a team.
• Proficiency in relevant software and payment processing systems.

Education & Experience:

• High school diploma or equivalent required; two (2) years of college preferred.
• Three (3) years of experience in healthcare data entry, preferably in a healthcare setting.
• Two (2) years of previous experience in healthcare-related billing or cash posting preferred.

Skills & Competencies:

• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and basic computer applications.
• Detail-oriented with the ability to manage large volumes of data accurately.
• Ability to work both independently and collaboratively in a fast-paced environment.

Preferred Experience:

• Hospice background preferred
• HCHB (HomeCare HomeBase) preferred
• LTC or Nursing Facility billing experience preferred
• Experience in eligibility verification & authorization processes