WorkReady

Southern Illinois Healthcare•Herrin, IL

1d•$20 - $30

About The Position

Provides administrative and clerical support to the director or assistant director to help ensure efficient organization of assigned departments. For SIH WorkCare and WorkReady, the role also manages occupational medicine billing and accounts receivable activities, including workers’ compensation claims, employer/client invoices, payment posting, account reconciliation, and collection follow-up. The position coordinates with clinical and administrative staff, accounting, billing, employer clients, and insurance carriers to support accurate billing, timely collections, and compliance with organizational policies, payer requirements, workers’ compensation regulations, and applicable billing requirements.

Requirements

Education from high school through an associate degree.
One year of technical experience.

Responsibilities

Greet visitors, answer telephones, and relay messages to appropriate staff.
Handle sensitive and confidential information discreetly.
Establish and revise filing systems; classify, sort, and file correspondence, records, and other documents.
Coordinate and schedule meetings, conferences, appointments, and travel arrangements, and maintain the supervisor’s calendar.
Prepare and proofread correspondence, memos, reports, minutes, and agendas; make corrections and recommended changes; fax, photocopy, and distribute materials as directed.
Sort, review, prioritize, and distribute department mail, bringing priority items to the supervisor’s attention.
Assist in preparing and maintaining the department budget and participate in day-to-day fiscal decisions.
Maintain departmental equipment and supplies and order materials as needed within the allotted budget.
Manage occupational medicine billing and accounts receivable activities in the occupational medicine EMR, ensuring accurate and timely billing.
Prepare, submit, and monitor workers’ compensation claims, verifying claim information, payer and authorization requirements, and billing documentation.
Prepare and submit employer/client invoices for occupational medicine services and contracted programs.
Maintain and reconcile accounts receivable, monitor outstanding and aged balances, research discrepancies, and initiate follow-up and collection activities.
Review and resolve billing rejections, denials, payment discrepancies, and claim issues with carriers, payers, employers, and other responsible parties.
Post and reconcile insurance and client payments, adjustments, refunds, and other financial transactions in the occupational medicine EMR and applicable financial systems.
Conduct routine accounts receivable aging reviews and follow up on outstanding workers’ compensation and employer/client balances.
Coordinate with clinical and administrative staff to obtain accurate patient, employer, claim, authorization, and service information needed for billing and collection.
Maintain accurate employer/client and workers’ compensation carrier account information, billing addresses, claim numbers, authorization details, and payer requirements in the occupational medicine EMR.
Apply contract-specific billing requirements and employer pricing according to established agreements, fee schedules, and contractual terms.
Reconcile occupational medicine billing, payments, adjustments, and outstanding receivables between the EMR and organizational accounting/financial systems.
Generate and analyze billing, collection, accounts receivable, aging, and revenue reports to identify trends, discrepancies, and opportunities to improve financial performance.
Serve as a primary resource for occupational medicine revenue cycle questions and collaborate with accounting, billing, clinical operations, employer clients, and insurance carriers.
Ensure billing practices follow organizational policies, payer requirements, workers’ compensation regulations, and applicable federal and state billing requirements.
Identify recurring billing and collection issues and recommend process, workflow, and system improvements.