Accounting Officer; U
Listed on 2026-07-06
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Administrative/Clerical
Bookkeeper/ Accounting Clerk, Office Administrator/ Coordinator
Description
The function of this position on the Payment Posting team is to provide technical and accounting support to the Managed Care and Commercial (including Workers Compensation and Fed State), Medicare, and Public Aid Payer teams in Patient Business Services.
This position is ON SITE only.
- 10% Daily Receipt Prep: Complete the break‑down worksheet for incoming ACHs from the bank. Determine ERA and PDF payments then combine as needed. Retrieve documents from multiple portals. Balance both the incoming and outgoing daily receipts for the team.
- 20% Daily Receipt Posting: Post receipts from various sources including ERAs, PDFs, correspondence, and other scanned images. Review and audit in detail Managed Care and Commercial and Public Aid receipt listings for accurate posting to patient accounts. Determine and calculate assignment losses. Post receipts, discretionary and statutory write‑offs as directed. Make complex decisions related to the daily work.
- 25% Receipt Follow‑Up: Research payments posted in control accounts and ETM's, including forwarding balances, missing EOBs, unidentified patient, and transfer to patient accounts. Maintain exchanges and monitor for missed payments. Be available to answer questions from other team members and communicate on workflows to ensure that the team is meeting the department goals timely. The research of these items will require employees to make phone calls, access websites, send emails, send mail, etc.
- 15% Personal Credits: Review ETM to resolve credits on patient accounts.
- 25% Account Management:
- Access patient account in SIU's practice management billing system and review for accuracy.
- Review insurance explanation of benefits (EOB) forms.
- Determine action needed and proceed appropriately to resolve credit balances and over payment/recoupment requests.
- Transfer payment and/or disallow to another charge or another responsible party as needed.
- Review charges that are paid to determine overpaid parties and next action steps for resolution.
- Request appropriate adjustments/write offs for charges that are incorrectly paid.
- Follow up with insurance teams and/or insurance companies regarding claim status and denials.
- Review and transfer accounts to bad debt when indicated/necessary.
- Retrieve EOBs electronically or other hard copy records and file as needed.
- Make appropriate entry of actions taken in the billing system modules.
- Review and resolve all refund over payment correspondence requests received.
- Assist with prepping and mailing refund checks.
- Prepare and submit refunds, payment transfers, and write offs for review and posting by the cash management team.
- 5% Other duties as assigned
- Course work in accounting, as measured by the following conversion table or its proportional equivalent:
- 9 semester hours equals two (2) years (24 months)
- Course work in any discipline as measured by the following conversion table or its proportional equivalent:
- 30 semester hours equals one (1) year (12 months)
- Associate's Degree (60 semester hours) equals eighteen (18) months
- 90 semester hours equals two (2) years (24 months)
- Work experience in bookkeeping, office support, or closely related experience.
Pursuant to the State Universities Civil Service System, an out-of-state resident who is hired into this position must establish Illinois residency within 180 calendar days of their start date
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Southern Illinois University School of Medicine is an affirmative action/equal opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.
Pre‑employment background screenings required.
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