Consumer Services Reimbursement Specialist Purchase of Service Unit

Overview

Under general supervision of the Purchase of Service Manager, perform fiscal clerical work in connection with the examination, calculation, reconciliation and recording of accounts payable records, verify check claims for payment, process requests to authorize payments; verify records for accuracy and completeness; and prepare summary reports.

• 24.0366 - $33.8219 per hour

• $250 sign-on bonus after the completion of 90 days of employment at IRC with work performance in good standing.
• $500 sign-on bonus after the completion of 6 months of employment at IRC with work performance in good standing.
• Make sure to tell us if an IRC employee referred you when you get to that question on your application! Please include their full name.
• This incentive is only available for new employees. Rehires are not eligible for the sign-on bonuses.

• To view our benefits package and employee perks, please .

• 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…