Hybrid Insurance Accounting Specialist

Posted last week

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About the role

  • Provides financial, administrative, and clerical support within the Accounting/Finance department
  • Responsible for review and processing of vendor invoices, provider payments, and voids and reissues of provider payments
  • Premium Billing - processes the monthly premium billing cycle for ASO PEPM fees and Medicare Advantage enrollees
  • Reconciles invoices and premium receipt reports to premium billing reports
  • Reconciles and applies payments received for premium invoices
  • CRM Responsibilities - Research, resolve and communicate resolution to internal team as well as external vendors for any finance related customer relationship management (CRM) request(s)
  • Claims Funding - Communicates weekly claims funding totals for both capitated and non-capitated claims to ASO clients as part of the weekly claims settlement process
  • Claims Settlement Analytics - Provides management with weekly claims settlement analytics and reports
  • Manages vendor information for accuracy relating to address and banking information to ensure payments to vendors are received and/or processed in a timely fashion
  • Compiles and processes accounts payable, maintains day to day payment cycle, and provides efficient customer service
  • Ensure all Medicare Advantage claims are settled and processed in a timely manner to avoid penalty
  • Verify approval on all vendor payment requests
  • Process payments to contracted providers for claims submitted to and processed by the Claims Operations department
  • Resolves problems associated with vendor payables transactions
  • Reconciles processed work by verifying entries and comparing system reports to balances
  • Provides accurate and effective document preparation and records management relative to the Claims Payable function in accordance with records retention policies and procedures, and any federal regulations
  • Maintain relationships will all areas of the organization to ensure effective, efficient, and accurate workflow processes as it relates to claims processing and customer service to both internal and external clients
  • Protects organization’s value by keeping information confidential. Adere to all HIPPA regulations
  • Updates job knowledge by participating in educational opportunities
  • Maintains historical records by imaging and filing documents

Requirements

  • Associates’ Degree in finance, accounting or business related field
  • Two (2) years of accounting or finance related experience

Benefits

  • Hybrid (2-3 days on-site)
  • 40 scheduled weekly hours
  • Exempt/Non-Exempt: United States of America (Non-Exempt)

Job title

Insurance Accounting Specialist

Job type

Experience level

JuniorMid level

Salary

Not specified

Degree requirement

Associate's Degree

Location requirements

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