Overview
Consumer Services Reimbursement Specialist Jobs in San Bernardino, USA at Inland Regional Center
Position: Consumer Services Reimbursement Specialist 1
Job Type: Full Time REPRESENTATION UNIT:
Administration Rate: $24.0366 per hour and Comprehensive benefits package Apply now to join Inland Regional Center’s team! We are a non-profit agency that provides support to individuals with developmental disabilities, autism, cerebral palsy, and epilepsy through the Inland Empire since 1972.
Apply promptly! A high volume of applicants is expected for the role as detailed below, do not wait to send your CV.
The agency has an exciting job opportunity for a Consumer Services Reimbursement Specialist 1 position in our San Bernardino office.
We are looking for individuals who have a high school diploma or equivalent.
Twenty-four (24) months of clerical accounting work to include 18 months A/P and one year heavy key entry and EDP file maintenance.
A Bachelor’s degree in Business or Accounting may be considered in lieu of work experience.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Examine vendor paper and electronic invoices daily for accuracy and completeness.
Prepare, verify changes and key enter accounts payable (A/P) input within scheduled time frames.
Accurately calculate payment from vendorized rates, Schedule of Maximum Allowance (SMA), Current Procedural Terminology (CPT) or negotiated rate, and/or bill for third party payments, proportionate cost, and absences.
Substantiate amount, source, and distribution of consumer revenue.
Investigate on-line edits, warning, errors and resolve according to agency procedures/policy.
Key enters payment data to generate checks.
Prepare and mail checks.
Post and record financial transactions.
Print invoice screen indicating potential loan; verify validity with Revenue Consumer Unit (RCU) and confer with manager on course of action.
Receive and examine service authorization requests weekly for compliant approval level, validity of services, and completion of required information e.g.
license, insurance, cardiopulmonary resuscitation CPR.
Verify level of supervision with rate tools; verify source of fund (SOF) information, payee status, and ensure SOF amounts cover basic cost of care.
Record and bill third party payors as assigned.
Investigate and resolve discrepancies between service request and vendor, consumer or SOF information.
Examine and process authorization requests within 15 calendar days of receipt daily.
Select correct rate subcode, service type, service code, and authorization setup.
Indicate special processing requirements.
Notify staff or public of missing or incomplete documents and/or logs and return unacceptable documents within one day of receipt.
Confirm monthly consumer benefit expected or currently being received by consumer.
Key enters data to generate accurate authorization on a timely basis.
Type request data card as required.
Post and record financial transactions.
Encumber/disencumber funds and modify authorization setup based on new or changed authorizations, rates, payments, or terminations.
Request edit reports and reconcile input document with edit, make correcting entries as needed and verify control totals.
Prepare and mail authorization and invoice documents at scheduled times.
Post encumbrances from authorization entry.
Process release of conserved consumer funds (ICRC 106) according to established time frames.
Examine request for validity and disbursement approval.
Set pay date according to established pay schedule.
Create and edit pay batch for entry and/or address errors.
Investigate ICRC 106’s rejected due to insufficient funds.
Notify RCU promptly when unable to process because of insufficient funds.
Correct and reenter when applicable.
Serve as resource to agency staff and service vendors daily.
Assist employees in finding information or materials as assigned.
Handle complaints and resolve discrepancies in payments and authorizations.
Explain billing requirements and assist vendors in following procedures for billing and payment on a timely basis.
Explain or interpret billing unit policy and procedures to employees, public or officials.
Maintain log and verify number of checks issued.
Identify, stamp and void checks by making adjusting entries to fiscal records and complete required documents.
Distribute checks, payment…
Title: Consumer Services Reimbursement Specialist
Company: Inland Regional Center
Location: San Bernardino, USA
Category:
