Job Description
Employer Industry: Healthcare Finance
- Why consider this job opportunity:
- Opportunity for a hybrid work environment (2-3 days on-site)
- Competitive pay based on experience
- Chance to work with a health plan that impacts community health
- Supportive and collaborative work environment
- Opportunity for career advancement within the organization
- Engaging work that contributes to the financial health of the organization
- What to Expect (Job Responsibilities):
- Process monthly premium billing cycles for ASO PEPM fees and Medicare Advantage enrollees, including invoice reconciliation
- Research and resolve finance-related customer relationship management (CRM) requests from internal teams and external vendors
- Communicate weekly claims funding totals for both capitated and non-capitated claims to ASO clients
- Compile and process accounts payable, maintaining the day-to-day payment cycle and ensuring timely settlement of Medicare Advantage claims
- Maintain accurate vendor information and ensure timely processing of payments to contracted providers
- What is Required (Qualifications):
- Associate’s Degree in finance, accounting, or a business-related field
- Minimum of two (2) years of accounting or finance-related experience
- Proficiency in operating standard office equipment and computers
- Strong organizational skills and attention to detail
- Ability to maintain confidentiality and adhere to HIPAA regulations
- How to Stand Out (Preferred Qualifications):
- Experience in healthcare finance or health plan operations
- Familiarity with accounts payable processes and claims management
- Strong analytical skills for claims settlement analytics and reporting
- Excellent communication skills for internal and external collaboration
- Ability to adapt to changing environments and priorities
#HealthcareFinance #Accounting #HybridWork #CareerOpportunity #ClaimsManagement
Apply Now
Apply Now