REIMBURSEMENT I

Riverside Healthcare•Kankakee, IL

9d•Onsite

About The Position

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.

Requirements

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
High school diploma or equivalent.

Nice To Haves

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

Responsibilities

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.
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.
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.
Maintain patient credits and resolve them within 2 business days.
Process suit authorizations and bankruptcy notices in a timely manner.
Maintain patient demographic information accurately.
Contribute to other duties and special projects as assigned.
Assist with miscellaneous administrative tasks as required.
Participate in special projects or initiatives within the department.