Consumer Services Reimbursement Specialist 1 for the Purchase of Service Unit jobs in United States
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Inland Regional Center · 5 hours ago

Consumer Services Reimbursement Specialist 1 for the Purchase of Service Unit

Inland Regional Center is seeking a Consumer Services Reimbursement Specialist 1 to support the Purchase of Service Unit. The role involves performing fiscal clerical work, including the examination and processing of accounts payable records, verifying claims for payment, and preparing summary reports.

Non ProfitPublic RelationsSocial Assistance

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 register, certification statements, authorization tickler and other appropriate documents on schedule
Compile monthly and periodic reports such as summaries of projected encumbrances by budget code, category, and fiscal year
Compose and type correspondence to vendors to recover overpayments and about services not authorized
Send standard letter in response to routine request. Send standard letter requesting invoice or notice that services were not provided
Assist manager in documenting procedures and writing instructions. Develop, adapt, or select most appropriate procedure to carry out directives
On a daily basis maintain an adequate skill level in interpersonal and community relationships
Comply with agency Personnel Policies and Procedures, and Affirmative Action Plan
Maintain good attendance and punctuality
Key enters data into IBM AS400
Prepare and distribute necessary reports on a timely basis
Keep manager informed of pending work, work in progress and problems encountered
Update knowledge through reading, briefings, and training
Drive vehicle/travel to other offices/locations to pick up, deliver materials
Organize travel effectively and efficiently. Maintain a safe driving record
Utilize agency’s IT systems as assigned, maintain security and following agency’s protocol and procedures, rules, and requirements. Use equipment appropriately and keep it in good repair. Keep work area neat and orderly. Observe all safety rules
Comply with the administrative requirements of the agency on a daily basis. Work cooperatively and effectively with others. Perform as a member of the team, answer questions, share expertise and contribute to the harmony of the team. Handle change well and be flexible and adaptable in dealing with interruptions, new priorities, and new assignments
As needed or assigned, screen and distribute incoming unit mail
Perform different or additional work as needed or assigned. Perform unit assignments on rotation basis or as assigned

Qualification

Accounts PayableBookkeepingData EntryElectronic Data ProcessingStatistical ReportingTyping SpeedCommunication SkillsTeamworkFlexibilityInterpersonal Skills

Required

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
Knowledge of bookkeeping and accounting terminology practices and procedures
Knowledge of office practices and procedures
Knowledge of electronic data processing as it relates to accounting
Ability to reconcile differences within the record keeping system requiring an understanding of the relationships among accounting records and documents
Ability to maintain ledgers and to prepare statistical summaries and reports
Ability to use ten key/calculator proficiently
Ability to read and interpret governmental regulations
Ability to establish and maintain effective working relationships with others
Ability to work cooperatively and effectively with others
Ability to handle change well and be flexible and adaptable in dealing with interruptions, new priorities, and new assignments
Ability to follow oral and written direction
Good verbal and written communication skills
Demonstrate ability to type accurately 35 wpm
Assure that consumer rights and dignity are maintained in the provision of services
Full use of an automobile, possession of a valid California driver's license and liability insurance for the minimum amount prescribed by law or ability to provide for independent transportation
Must have and maintain a safe driving record

Benefits

$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.
Generous Benefits Package And Employee Perks

Company

Inland Regional Center

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Inland Regional Cente strives to help individuals with developmental disabilities in San Bernardino and Riverside counties.

Funding

Current Stage
Late Stage
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