Job Summary
Pay Range : $42,000 - $68,000
Note : Individuals typically begin between the minimum to middle of the pay range
Process, review, balance, and post benefit payments accurately and timely. Ensures benefit payments to providers and members are balanced and disbursed based on the scheduled payment cycles and process refunds timely. Research and respond to payment-related inquiries. Prepare monthly journals and adjusting journal entries and analyze GL account reconciliations. Assist with analysis of financial data and prepare special reports as assigned.
Minimum Qualifications
Duties and Responsibilities
Submit invoices for approval and process payments based on Federal and State reporting guidelines.Research and resolve payment inaccuracies and effectively communicate with vendors, business-associates, and government agencies for payment-related issues.
Monitor incoming inquiries received for multiple lines of business and coordinate assignments of aging or rush inquiries.Research and resolve complex inquiries and assist staff to resolve issues as needed.
Research and resolve payment balancing discrepancies.Identify impacts to payment balancing for updates to mandates or changes in business requirements.Identify key controls for audit reviews.
Perform G / L and bank account reconciliations.Research discrepancies and perform corrective action to clear discrepancies.Prepare audit workpapers as assigned and respond to audit inquiries.
Review payment-related claims transactions and assist with resolving issues related to payments, refunds, negative balance, deducts, etc.
Including review and processing of refund checks, return mail, scanning and filing, check pick-up, stop payment, void processing, EFT requests, etc.
LI-Hybrid