What are the responsibilities and job description for the Posting Representative position at So IL Health Care Foundation?
VISION, MISSION, PLEDGE & VALUES:
Every employee of SIHF Healthcare is expected to uphold our vision, mission, pledge and values. Our actions will reflect our values of service, diversity, integrity, excellence and teamwork. We pledge to collectively reflect our values each and every day in the pursuit of better health and lives of those we serve, work with, and live among. This will result in our vision of people achieving their highest quality of life through the fulfillment of our mission to lead individuals and communities to their healthiest lifestyle by providing a coordinated network of health and supportive services.
CUSTOMER SERVICE COMPLIANCE STATEMENT:
Treat every person with dignity, respect and kindness by listening with your full attention, address questions/concerns immediately, and accept responsibility to follow through by always doing what you say you will do. You support our customers, and your team, by being patient, understanding and positive, knowing that you are SIHF Healthcare to those we serve.
POSITION DESCRIPTION:
Responsible for ensuring team performance that supports the mission of SIHF Healthcare and facilitates the achievement of health center or department goals and objectives. Administer the functions within the department including but not limited to refunds, unpotable, uploading explanation of benefits (EOB) and NSF checks.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Research accounts with credit balance or overpayments to provide necessary resolution.
- Prepare all supporting documentation to resolve each account to a $0 balance. Prepare refund request as needed.
- Interact with leadership and department staff to resolve customer concerns.
- Collect and post payments as directed by department leadership.
- File manual documents received for the team.
- Document refund checks in Athena when received from accounting.
- Upload payment batches and EOB information into EMR as directed by leadership team.
- Process returned mail and void NSF checks in the EMR.
- Set a good example for team members in the area of professionalism, customer service, and adherence to SIHF Healthcare policies and procedures.
- Provide excellent customer service to patients, client’s daily and other team members of SIHF Healthcare
- Perform routine duties with minimal supervision.
- Must be HIPAA compliant and maintain confidentiality of all health records.
- Other duties as assigned.
KNOWLEDGE, SKILLS, ABILITIES:
- Must have well developed oral and written communication skills with the ability to read and comprehend simple instructions, write short simple correspondence, and memos.
- Ability to effectively present information in small groups and one-on-one situations to customers, clients, and/or other employees of the organization.
- Proficient personal computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc.
- Ability to handle multiple tasks and prioritize.
- Requires the ability to maintain confidentiality.
- Knowledge of Medicaid, Medicare and all third party billing guidelines.
EDUCATION AND EXPERIENCE:
- High school diploma or GED and six (6) months related experience preferred.
- An understanding of billing rules and regulation related to Medicaid, Medicare, insurance and self-pay physician services is desired.
PHYSICAL DEMANDS:
Sedentary physical activity performing non-strenuous daily activities of an administrative nature
WORK SCHEDULE:
Normal work hours for this position are Monday through Friday dayshift. Occasionally, weekends and/or overtime is required.
COMPLIANCE STATEMENT:
Abide by the requirements all applicable State and Federal laws.
MEDICAL HOME STATEMENT:
Be aware and understand expectations and responsibilities of the Patient Centered Medical Home. Understand role, complete relevant duties, and the requirement to maintain highest level of proficiency within scope, as part of this team-based approach in the patient care continuum.
COMPREHENSIVE BENEFIT PACKAGE FOR FULL-TIME:
- Health Insurances: Choose from medical, dental, and vision plan offerings with coverage for employees and eligible dependents.
- Flexible Spending Accounts (FSA): Save tax-free on medical and dependent care expenses.
- Health Savings Account (HSA): Set aside pre-tax funds for medical expenses with no rollover limits.
- Life Insurance: Employer-paid life and AD&D insurance with additional voluntary options.
- Disability Insurance: Employer-paid disability insurance for eligible positions.
- 401(k): SIHF matches dollar-for-dollar on the first 4% you contribute, with immediate vesting.
- Paid Time Off (PTO): Accrue vacation, sick leave, and holidays, including a floating holiday.
- Paid Parental Leave: Eligible employees can receive employer-paid parental leave for the birth or adoption of a child.
- Other Benefits: Tuition reimbursement, corporate discounts, travel assistance, employee assistance program, voluntary short- and long-term disability, and more.
