Accounting Clerk PACE - FT - Day - LIFE Bordentown NJ

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in exceptional physicians, nurses, and staff, as well as advanced technology. Capital Health is a dynamic healthcare resource accredited by the DNV, including two hospitals, an outpatient center, a satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group consists of over 600 physicians and providers offering primary, specialty, and hospital-based services.

About the role

The role involves processing medical invoices, check requests, and expense reports in accordance with established procedures. This includes reviewing invoices for accuracy, coding expenses, maintaining vendor and participant files, and ensuring timely payment through Accounts Payable. The position requires close collaboration with various departments to manage authorizations, claims, and documentation.

Responsibilities

• Process medical invoices, check requests, and expense reports, ensuring accuracy and adherence to procedures.
• Code expenses, photocopy invoices, file copies, and send original documents to Accounts Payable for payment.
• Maintain vendor and participant files, and track unpaid invoices.
• Utilize EMR to obtain authorization information and generate authorization files weekly.
• Create, input, and maintain data in Excel spreadsheets, and generate reports as needed.
• Ensure all authorizations are added for claims received by working closely with all departments.
• Review the weekly Pre-check Register for accuracy, ensuring authorization, claim, and supporting documentation are present before approving payment.
• Review the weekly Pend Report, follow up on missing authorizations or documentation, and approve claims as appropriate.
• Work closely with the in-house adjudication department on all aspects of claim processing.
• Follow up with outside providers as necessary.
• Answer phone calls and respond to questions from participants, family members, and coworkers.
• Manage claims denials and resubmissions.
• Track and enroll participants in Medicare and support the Medicaid enrollment and approval process.
• Perform other duties as assigned.

Requirements

• High School Diploma or equivalent required.
• Two years of accounts payable experience and knowledge of standard accounts payable policies and procedures.
• Data entry experience required.

Physical Demands and Work Environment

• Frequent physical demands: Sitting, standing, walking, carrying objects, pushing/pulling, twisting, bending, reaching forward, reaching overhead, wrist position deviation, pinching/fine motor activities, keyboard use/repetitive motion.
• Occasional physical demands: Climbing (e.g., stairs or ladders), squat/kneel/crawl.
• Continuous physical demands: Talking or hearing.
• Lifting: Floor to waist: 0 lbs; Waist level and above: 0 lbs.
• Sensory requirements: Accurate near vision, accurate far vision, color discrimination, moderate depth perception, accurate hearing.
• Anticipated occupational exposure risks: Bloodborne pathogens, airborne communicable diseases, dust/particulate matter.

Pay

The pay range for this full-time equivalent (1.0 FTE) position is $19.32 - $24.13 per hour. Actual compensation may differ based on assigned hours and position status (e.g., part-time).

Schedule

Scheduled weekly hours: 40.

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) – Healthcare and Dependent Care
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & AD&D Insurance
• Disability Benefits – Long Term Disability (LTD) and Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit and Parking
• Voluntary benefits including:
  • Supplemental Life Insurance (Employee, Spouse, Child)
  • Voluntary Legal Services
  • Voluntary Accident, Critical Illness, and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
• Paid Time-Off Program