REIMBURSEMENT I

• KANKAKEE, Illinois
• Patient Financial Services
• Pat Financial Svc
• Full-Time
• 5239
• USD $22.14/Hr
• USD $27.39/Hr

Job Description

Overview

The Patient Financial Services Reimbursement I is essential to Riverside Healthcares financial operations, focusing on the accurate posting of payments and adjustments for patient accounts. This role involves managing all related functions to ensure timely and correct processing of transactions, handling unidentified payments, and performing various patient account duties as assigned. The Reimbursement I position requires strong attention to detail, effective communication skills, the ability to work independently and demonstrates flexibility with assignments within professional scope/duties/licensure.

Essential Duties

Payment Posting:

• Accurately post all payment and adjustment transactions, including manual, EFT (Electronic Funds Transfer), and ERA (Electronic Remittance Advice) transactions.
• Perform accurate and timely follow-up on all unidentified payments.

Account Management:

• Audit Explanation of Benefits (EOBs) and perform any necessary secondary/supplemental billing requirements, adjustments, and workflow updates.
• Handle credit balance follow-ups, including balance transfers and refund procedures, ensuring timely and correct processing.
• Review and address denials promptly, ensuring correct and timely resolution.

Financial Reconciliation:

• Maintain and distribute daily/monthly cash and claims totals accurately and on time.
• Perform daily closeout and reconciliation of all payments to ensure accuracy and completeness.

Customer and Patient Service:

• Maintain patient credits and resolve them within 2 business days.

Administrative Duties:

• Process suit authorizations and bankruptcy notices in a timely manner.
• Maintain patient demographic information accurately.
• Contribute to other duties and special projects as assigned.

Non-essential Duties

• Assist with miscellaneous administrative tasks as required.
• Participate in special projects or initiatives within the department.

Responsibilities

Preferred Experience

• Proficient PC and keyboarding skills.
• Strong mathematical skills and attention to detail.
• Excellent guest relation skills, including verbal and written communication.
• Ability to work independently and manage multiple tasks effectively.
• Proficient with Microsoft

Required Licensure/Education

• High school diploma or equivalent.

Preferred Education

• Previous data entry experience or related administrative experience preferred but not required.
• Experience in a healthcare or financial services environment is a plus.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes:

Compensation

• Base compensation within the positions pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift differential, on-call
• Opportunity for annual increases based on performance

Benefits - .5 to 1.0 FTE

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Benefits - .001 to .49 FTE:

• Paid Leave Hours accrued as you work

Employee Health Requirements

Exposure/Sensory Requirements:

Exposure to:

• Chemicals: None
• Video Display Terminals: Extreme
• Blood and Body Fluids: None
• TB or Airborne Pathogens: None.

Sensory requirements (speech, vision, smell, hearing, touch):

• Speech: Needed for presentations/training, telephone communication, facilitate meetings.
• Vision: Needed to read memos and literature.
• Smell: N/A
• Hearing: Needed for telephone communications, meetings, and listening to employee concerns.
• Touch: Need to write, do computer entry, filing.

Activity/Lifting Requirements

Percentage of time during the normal workday the employee is required to:

• Sit: 85%
• Twist: 0%
• Stand: 5%
• Crawl: 0%
• Walk: 5%
• Kneel: 0%
• Lift: 2%
• Drive: 0%
• Squat: 1%
• Climb: 0%
• Bend: 1%
• Reach above shoulders: 1%

The weight required to be lifted each normal workday according to the continuum described below:

• Up to 10 lbs: Occasionally
• Up to 20 lbs: Occasionally
• Up to 35 lbs: Not Required
• Up to 50 lbs: Not Required
• Up to 75 lbs: Not Required
• Up to 100 lbs: Not Required
• Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.): Lifting is not usually required.

Maximum consecutive time (minutes) during the normal workday for each activity:

• Sit: 408
• Twist: 0
• Stand: 24
• Crawl: 0
• Walk: 24
• Kneel:0
• Lift: 9
• Drive: 0
• Squat: 8
• Climb: 0
• Bend: 8
• Reach above shoulders: 4

Repetitive use of hands (Frequency indicated):

• Simple grasp up to 10 lbs. Normal weight: 5- 10# frequent
• Pushing & pulling Normal weight:
• Fine Manipulation: Terminal entry, calculator.

Repetitive use of foot or feet in operating machine control: None

Environmental Factors &Special Hazards

• Environmental Factors (Time Spent):
• Inside hours: 40
• Outside hours : 0
• Temperature: Normal Range
• Lighting: Average
• Noise levels: Average
• Humidity: Normal Range
• Atmosphere: Dust &Poor Ventilation

Special Hazards: None

Protective Clothing Required: None

Pay Range

USD $22.14 - USD $27.39 /Hr