What are the responsibilities and job description for the CCU Reject Specialist (Chicago - South) position at Premier Home Health Care Services, Inc.?
Premier Home Health Care Services, Inc. is a leading established Home Health Care Agency.
We currently have an opportunity for a Reject Specialist in Chicago - South Side!
The Reject Specialist corrects and resubmits daily rejects are addressed to ensure the CCU, and providers can bill timely.
Qualifications:
- Minimum of a High School diploma or GED equivalent
- Two years’ experience in IDOA Care Coordination Unit (CCU) reject process.
- Must be knowledgeable in CMIS, eCCPIS and PSS.
- Good interpersonal skills required.
- Ability to use computerized systems.
- Ability to work well under pressure.
- Knowledgeable in Excel
Essential Job Responsibilities:
- Run daily census to ensure census matches eCCPIS and Arrow.
- Run the CCU and provider reject list in eCCPIS every Friday by 10am.
- Resolve problems with rejects on contract lists to ensure payment.
- Collaborate with vendors (providers) to correct errors on provider error lists to ensure payment.
- Review and resolve issues on participants on interim status for more than allotted time.
- Perform data clean up on projects requested by the Illinois Department on Aging.
- Review and resolve termination issues on participants on program without service for more than 60 days.
- Transfer participant to new vendor upon termination by IDoA of vendor presently servicing vendor.
- Process MCO transitions.
- Provide documentation using IDoA case note form of activities in working with participants, staff, vendors and funding agencies.
- Assist with general office duties, i.e., answering the phones, copying, and filing.
Premier Home Health Care Services offers a competitive salary. In addition, Full Time Employees are eligible for medical, dental, vision, 401K, paid time off, holiday pay, short-term disability, life insurance, and an optimal legal plan. All interested applicants please apply today!
EOE/M/F/D/V
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Education:
- High school or equivalent (Required)
Ability to Commute:
- Chicago, IL 60643 (Required)
Work Location: In person
Salary : $18
