We Are Hiring!

At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you’re part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us!

FTE: 1.000000

Shift: Days

Location: HOOVER

 

Summary:

Reporting to the Collections Coordinator, the Accounts Receivable Specialist I maintains the accounts receivable related to insurance, managed care, third party, worker's compensation and other miscellaneous payers. This financial counselor may also assist in the financial clearance of patients prior to service.

 

Experience/Education Requirements:

High school graduate or equivalentPrevious collections or insurance experience within last 3 years, preferredExcellent guest relation skills including verbal and writtenICD9/CPT/Medical terminology preferredPC and keyboarding skillsAbility to work independentlyTwo years hospital patient accounting experience

License or Certification Requirements:

 

 

Responsibilities:
Ability to accurately review and bill all Secondary and Tertiary insurances to correct charges, bill forms and supporting documentation (EOBs).Assist patients with insurance problems and provide Financial Counseling.Assist with creating and maintaining Financial Counseling policies, procedures, and training manuals.Maintain attendance at Managed Care In-services, onsite meetings and conference calls with Insurance Provider Representatives.Maintain daily billing audit reports, billing worklists, billing queues and charge corrections.Maintain patient demographic information.Maintaining Blue Cross and miscellaneous A/R by the use of Telephone, Internet, Worklists, Queues, ATBs and appropriate letters. File and re-file claims to insurance companies.Provides accurate and timely billing of all electronic and paper claims, to Blue Cross or miscellaneous A/R.Also has the knowledge to work any rejections to ensure claims are rebilled timely.Understands bililng requirements for Medicare/Medicaid/HMO/PPO and miscellaneous billing as defined by contract, state or federal law.Utilize resources available to assist with various types of telephone inquiries (ex: charge problems, patient complaints, diagnosis changes).Other duties as assigned.

 

 

Education:
Essential:
* HIGH SCHOOL DIPLOMA

 

Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.

Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.

 

Other information:

Exposure/Sensory Requirements

 

Exposure to:
Chemicals: None
Video Display Terminals: Extreme
Blood and Body Fluids: None
TB or Airborne Pathogens: None.

Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Needed for presentations/training, telephone communication, facilitate meetings.
Vision: Needed to read memos and literature.
Smell: N/A
Hearing: Needed for telephone communications, meetings, and listening to employee concerns.
Touch: Need to write, do computer entry, filing.

Activity/Lifting Requirements

 

Average Hours per Week: 40

Shift: Days

Percentage of time during the normal workday the employee is required to:
Sit: 85%
Twist: 0%
Stand: 5%
Crawl: 0%
Walk: 5%
Kneel: 0%
Lift: 2%
Drive: 0%
Squat: 1%
Climb: 0%
Bend: 1%
Reach above shoulders: 1%

The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Occasionally
Up to 20 lbs: Occasionally
Up to 35 lbs: Not Required
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Lifting is not usually required.

Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 408
Twist: 0
Stand: 24
Crawl: 0
Walk: 24
Kneel:0
Lift: 9
Drive: 0
Squat: 8
Climb: 0
Bend: 8
Reach above shoulders: 4

Repetitive use of hands (Frequency indicated):
Simple grasp up to 10 lbs. Normal weight: 5-10# frequent
Pushing & pulling Normal weight: <50#>
Fine Manipulation: Terminal entry, calculator.

Repetitive use of foot or feet in operating machine control: None

Environmental Factors & Special Hazards

 

 

Environmental Factors (Time Spent):
Inside hours: 40
Outside hours : 0

Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere: Dust & Poor Ventilation

Special Hazards:
Protective Clothing Required: None