Job Information
Carle Foundation Hospital Recovery Coordinator in Urbana, Illinois
Recovery Coordinator
Department: HA - Recovery
Entity: Health Alliance
Job Category: Clerical/Admin
Employment Type: Full - Time
Job ID: 45963
Experience Required: 3 - 5 Years
Education Required: Not Indicated
Shift: Day
Location: Champaign, IL
Usual Schedule: M-F 8-5
On Call Requirements: No
Work Location: HA at The Fields
Weekend Requirements: No
Holiday Requirements: No
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Position Summary:
The Recovery Coordinator is responsible for accurate and timely refund posting and refund follow?up. Serves as liaison to external vendors who conduct recovery activities post payment of claims on behalf of Health Alliance. Responsible for accurate maintenance of the data stored in the refund tracking software system.
Qualifications:
EDUCATIONAL REQUIREMENTS None Specified CERTIFICATION & LICENSURE REQUIREMENTS None Specified EXPERIENCE REQUIREMENTS Three (3) years relevant experience required as accounting clerk (receivables or payables), customer service or collections experience. requireduires clerical experiences with word processing spreadsheet ability at a moderate level, 10?key skill. SKILLS AND KNOWLEDGE Organizational Skills: Ability to organize and prioritize work on a day?to?day basis. Human Relations: Ability to communicate effectively, deal with conflict and maintain respect for confidentiality. Independence: Ability to work with minimal supervision. Decision Making/Problem Solving: Ability to work through and resolve difficulties.
Essential Functions:
Ensures accurate cash posting and cash control in terms of balancing each day's entry with the deposit and ensuring funds are secured. Ensures accurate maintenance of check log entries for turnaround time and inventory control reports.
Performs timely follow-up to refund requests, works directly with providers and members on outstanding balances, provides any additional documentation, explanation or back-up required to resolve the balance.
Responds timely to audit results and discusses any disputes with the Recovery Manager.
Assists in the identification of trends based on refund receipt reasons and provides feedback to the Recovery Manager.
Submits appropriate cases to external recovery agencies and serves as liaison for these vendors performing Coordination of Benefits, Third Party Liability, general claims overpayments and termed member collection recovery activities. Responds to any written or telephonic information requests of external vendors.
Responsible for completion of various departmental reports.
Provides input to the development, implementation, and ongoing maintenance of policies and procedures in order to maximize payment avoidance or recovery opportunities.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
