Job Description

Job Location: Charleroi, PA 15022
Position Type: Full TimeComprehensive Benefits Package   •   Tuition Discounts   •   Career Advancement
SOUTHWESTERN PA HUMAN SERVICES, INC.
Charleori, PA Location
Full-Time
Overall Function:
Performs procedures and tasks necessary to maintain the continuum of Fee-For-Service processing of billing and collections.
Essential Functions:
- Generate invoices for appropriate service authorization for units of service provided by clinical staff.
- Monitor the billing and payment process with accounts receivable.
- Generate and review the monthly accounts receivable report and follow up on unpaid claims.
- Address and research denied claims and identify problem areas for revision and claim resubmission.
- Identify weaknesses in the FFS process and assist in the correction of problem issues.
- Verify the service data entry logs for completeness and accuracy.
- Adheres to all policies, laws, regulations, and codes of ethics and confidentiality as outlined by federal and state laws, and agency policies and procedures.

Qualifications
- General knowledge of basic mathematical and bookkeeping skills.  Relevant combinations of education, skills, experience, and training may be considered at the agency's discretion.
- Must successfully obtain Criminal History Clearance from the PA State Police, Child Abuse Clearance from the PA Department of Human Services, and FBI Fingerprint Clearance.
- Must not be excluded from participation in Medicare, Medicaid, or any other federal health care program.
- Demonstrated ability and skill using computer software and word processing equipment.
- Demonstrated knowledge of elementary accounting procedures and terminology.
- Demonstrated ability to establish and maintain effective working relationships with internal staff and vendors.
Available Benefits:
- Medical and dental benefits for eligible employees.
- Retirement plan with potential for agency match.
- Tuition discounts with partnering colleges and universities.
- Career advancement opportunities.
- Generous time off for eligible employees.
- Be an SPHS Hero!
EQUAL OPPORTUNITY EMPLOYER
(65984)