Reimbursement Officer - Cpu
About The Position
The Illinois Department of Children and Family Services is hiring a Reimbursement Officer for Payment Determination and Reconciliation. Under general supervision, the position performs professional reimbursement work to maintain the Department’s complex board payment system. The officer investigates and evaluates payment amounts using reports and Department rules, researches transaction discrepancies, and analyzes field and provider questions about eligible board payments for relative and traditional children. The role also determines payment eligibility and audits claim vouchers for compliance with applicable statutes, rules, policies, procedures, and contractual agreements. The position is based at the Department’s Springfield headquarters and is fully in-office.
Requirements
- Knowledge, skill, and mental development equivalent to completion of four years of college, with courses in accounting, economics, or business administration; coursework in insurance, estate, and probate law is preferred.
- One year of work experience in the reimbursement field.
- Ability to pass a background check.
- Excellent organizational and communication skills are identified as ideal candidate attributes.
Nice To Haves
- College coursework in insurance, estate, and probate law.
Responsibilities
- Serve as Reimbursement Officer for Payment Determination and Reconciliation.
- Independently research and analyze discrepancies in daily transactions.
- Investigate and analyze field and provider inquiries related to eligible board payments for relative and traditional children.
- Investigate and analyze information needed to determine eligible payments, including AFDC eligibility; movement of DCFS and non-DCFS children into and out of a home; provider Social Security number changes and verification; licensing status changes and verification; and changes in specialized foster care approval status.
- Conduct investigations to complete placement and payment authorization information and obtain relevant details needed to change the DCFS provider ID associated with children, using data in the cluster database and licensing screens.
- Audit claim vouchers to ensure compliance with statutes, Department rules and regulations, internal policies and procedures, and contractual agreements.
- Serve as liaison with private agencies, relative caregivers, DHFS and other agencies, central office licensing staff, central and regional office contract staff, and other relevant entities regarding board errors, correction methods, and interpretation of Department rules and regulations; provide instruction as needed.
- Perform other duties as required or assigned that are reasonably within the scope of the position.
Benefits
- Pension program
- Group health insurance
- Life insurance
- Dental insurance
- Vision insurance
- Three paid personal business days annually
- Twelve paid sick days annually, with carryover
- Ten to 25 days of paid vacation annually, with 10 days in the first year of employment
- Thirteen paid holidays annually, and 14 in even-numbered years
- Twelve weeks of paid parental leave
- Deferred Compensation Program supplemental retirement plan
- Optional pre-tax Medical Care Assistance Plan and Dependent Care Assistance Plan
- Federal Public Service Loan Forgiveness Program eligibility
- GI Bill training and apprenticeship benefits eligibility for qualifying veterans
- Five percent salary differential for bilingual positions
- Commuter Savings Program for Chicago employees
- Flexible work schedules when available and dependent upon position
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
