Fiscal Technician 2-D&A Patient Accounts

SPHS GROUP•Charleroi, PA

31d•Onsite

About The Position

SOUTHWESTERN PA HUMAN SERVICES, INC. Charleori, PA Location Full-Time Overall Function: Performs procedures and tasks necessary to maintain the continuum of Fee-For-Service processing of billing and collections. Essential Functions: Generate invoices for appropriate service authorization for units of service provided by clinical staff. Monitor the billing and payment process with accounts receivable. Generate and review the monthly accounts receivable report and follow up on unpaid claims. Address and research denied claims and identify problem areas for revision and claim resubmission. Identify weaknesses in the FFS process and assist in the correction of problem issues. Verify the service data entry logs for completeness and accuracy. Adheres to all policies, laws, regulations, and codes of ethics and confidentiality as outlined by federal and state laws, and agency policies and procedures.

Requirements

General knowledge of basic mathematical and bookkeeping skills.
Relevant combinations of education, skills, experience, and training may be considered at the agency's discretion.
Must successfully obtain Criminal History Clearance from the PA State Police, Child Abuse Clearance from the PA Department of Human Services, and FBI Fingerprint Clearance.
Must not be excluded from participation in Medicare, Medicaid, or any other federal health care program.
Demonstrated ability and skill using computer software and word processing equipment.
Demonstrated knowledge of elementary accounting procedures and terminology.
Demonstrated ability to establish and maintain effective working relationships with internal staff and vendors.

Responsibilities

Generate invoices for appropriate service authorization for units of service provided by clinical staff.
Monitor the billing and payment process with accounts receivable.
Generate and review the monthly accounts receivable report and follow up on unpaid claims.
Address and research denied claims and identify problem areas for revision and claim resubmission.
Identify weaknesses in the FFS process and assist in the correction of problem issues.
Verify the service data entry logs for completeness and accuracy.
Adheres to all policies, laws, regulations, and codes of ethics and confidentiality as outlined by federal and state laws, and agency policies and procedures.