Accounts Receivable Clerk

1 week ago

 Experience Three years accounts receivable experience  Three years Medicare Medicaid and medical insurance billing experience, United States Hospice Of Southern Illinois, Inc. Full time

**Requirements**:

- Position Requirements
- Associate Degree from an accredited college (preferred).
- Experience
- Three (3) years accounts receivable experience.
- Three (3) years Medicare, Medicaid and medical insurance billing experience.
- Other Qualifications
- Proven working experience as a billing specialist.
- Proven ability to calculate, post and manage outstanding receivables.
- High degree of accuracy and attention to detail.
- Able to work independently and prioritize multiple tasks.
- Ability to accurately record and transmit detailed information.
- Ability to interpret and comply with claim submission requirements.
- Works well in an environment with firm deadlines.
- Capable of making timely, independent decisions.

**Responsibilities**:

- Summary of the Accounts Receivable Specialist
- Position Summary: The Accounts Receivable Specialist effectively interacts with all levels of the finance, admissions, medical records, and clinical departments. This position requires the skills to work and cultivate teamwork on various tasks and projects. Strong analytical, time management, organizational, problem
- Solving, and decision
- Making skills are essential to ensure timely claim payment. Must have working knowledge of Medicare, Medicaid and commercial insurance plans.
- Full
- Time Hourly, Non
- Exempt Position
- Schedule: Monday
- Friday 8: 30 A. M. - 5: 00 P. M.
- Would work at the Hospice of Southern Illinois Administration Building located at 305 South Illinois Street, Belleville, IL 62220. This is not a remote position.
- Hospice of Southern Illinois is certified by the State of Illinois and is in compliance with the registration requirements of the Illinois Equal Pay Act.
- EOE
- Essential Functions
- Knowledgeable of patient billing process in Suncoast and Great Plains, including the reconciliation process.
- Ability to file claims electronically and manually based on financial class submission requirements.
- Ability to post payments/adjustments accurately to patient accounts.
- Competent in completing general ledger journal entries.
- Manage all aspects related to timely filing of claims, including correcting claim errors and resubmissions.
- Displays a high degree of understanding of Medicaid/MCO billing requirements and processes.
- Assist with ongoing Accounts Receivable review process, including identification and resolution of specific claim issues. Diligent follow
- Up with insurance companies that can lead to positive outcomes for Hospice of Southern Illinois.
- Competent in the authorization processes for all payor sources.
- Knowledge of Nursing Home Medicaid Room and Board billing process.
- Knowledge of Medicare and Direct Pay billing process, including the billing of deductibles and copAys. This process may require interaction with patients and/or families.
- Ability to enter and manage claims in DDE (Direct Data Entry), Medi (Illinois Medicaid) and Medicaid HMO portals.
- Understanding of benefit periods and certification/recertification processes. Including the monitoring and submission of re
- Certifications, when appropriate.
- Competent to create all Medicare Notice of Elections (81As) and terminations (81Bs) in Suncoast Solutions and CMS Direct Data Entry System and/or submission of Medicaid Notices of Elections (1592's) and terminations (1594's) to Illinois Medicaid and/or Medicaid HMO's.
- Understanding of basic accounting principles.
- Knowledgeable in telephone system and call/message forwarding protocol.
- Problem
- Solving - Demonstrates the ability to identify, design, and contribute to the development of new ideas and approaches that will improve work processes and systems. Identifies an issue and proposes a solution to the issue.
- Accuracy - Detail
- Oriented with the ability to troubleshoot and check work.
- Ability to develop relationships that are necessary in all areas of essential functions.
- Planning and Organizing - Uses systems to organize and keep track of information. Sets priorities with an appropriate sense of what is most important and plans with an appropriate and realistic sense of the time demand involved.
- Communicate - Demonstrates a high level of communication skills and can clearly articulate thoughts and ideas.
- Reliability - Follows through on all projects, goals, and aspects of one's job.
- Exemplifies Hospice of Southern Illinois core values in daily practice.
- Accurate timesheet documentation.
- Appropriately manages Paid Time Off.
- Other duties as assigned

**Benefits**:

- Benefit and Insurance Information
- Paid Time Off (PTO)
- Extended Illness Benefits (EIB)
- Blue Cross Blue Shield Healthcare Medical Insurance. Company pays 90% of the employee's health insurance premiums and contributes 15% towards the health insurance premiums for spouses or children.
- Medical FSA for Traditional PPO Health Insurance Plans
- Dependent Care FSA
- HSAs for High Deductible Health Insurance Plans with an employer contribution
- Blue Cross Blue Shield Dental Insurance
- Monthly Cell Phone Allowance of $36
- Mileage Reimbursement of. 67 cents per mile
- VSP Vision Insurance
- BCBS Basic Life and AD&D insurance (Paid for by the company)
- BCBS Voluntary Supplemental Life Insurance for the employee, spouse, or children
- BCBS Short
- Term Disability
- BCBS Long
- Term Disability (Paid for by the company)
- Tuition Reimbursement of $3,500 annually after one year of employment for approved courses.
- Student Loan Reimbursement of $2,500 annually after one year of employment
- 403(b) Retirement Plan with a company match up to 3% in 2024.
- Employee Assistance Program from Mine & Associates
- McKendree University 10% Tuition Discount
- SIUE 5% Tuition Discount
- Recruitment Referral Reward Program
- Discounts from select companies (auto, cell phone, etc. )
- Earn Burgundy Bucks which can be spent on items such as clothing and services in the Employee Portal.
- Wellness Reimbursement of $200 annually for gym memberships, marathons, and weight loss programs.

JOB TYPE

Work Day: Full Time

Employment type: Permanent Job

Salary: Negotiable

Positions available: 1

JOB REQUIREMENTS

Minimal experience: Unspecified

Gender: Indistinct

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