Overview
This role involves contribution account reconciliation and resolution of customer inquiries for assigned Trusts, ensuring compliance with associated plans and organizational guidelines.
The position requires having the minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role.
Responsibilities
- Handle customer inquiries via telephone, electronic modes, and in-person for billing questions for stakeholders such as employers, providers, auditors, or client representatives.
- Process COBRA payments, self-pay payments, refund requests, and cash receipts.
- Receive and process new employer contracts; maintain and update existing contracts.
- Prepare and process incoming and outgoing contribution reports; reconcile reports to payments.
- Research discrepancies and resolve issues including credits, retro-payments, and related payment problems; contact employers regarding discrepancies.
- Submit deposits, request stop payments, and reconcile batch files, making corrections when needed.
- Perform delinquency and payroll audit processing, including reporting, follow-up, and preparation for entry into computer systems.
- Review, research, correct, and balance month-end edit reports.
- Perform other duties as assigned.
Minimum Qualifications
- High school diploma or GED.
- Six months of related work experience such as third-party administrator processing, bookkeeping, finance, banking, or accounting.
- Proficiency with MS Office tools and applications.
- Computer literate with the ability to learn new applications and systems.
Preferred Qualifications
- Experience working in a healthcare environment or a third-party benefits administrator.
- Bilingual English/Spanish verbal and written communication skills.
- Proficiency with 10 key calculations.
Working Conditions / Physical Effort
- Prolonged periods of sitting at a desk and working on a computer.
- Ability to lift up to 15 pounds at times.
- May be required to work remotely based on business needs.
Compensation & Benefits
Benefits may include:
- Health, vision, and dental coverage
- Retirement savings 401(k) plan with company match
- Paid time off (PTO)
- Opportunities for growth
Disability Accommodation
Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, the organization provides reasonable accommodation when requested by a qualified applicant or employee with a disability, unless doing so would cause an undue hardship. This policy applies to all aspects of employment, including the application process.
Disclaimer
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.