Customer Accounting Specialist II (50895)

Overview

This Customer Accounting Specialist II role supports the financial and accounting activities of a Third-Party Administrator (TPA) by managing invoices, reconciliation, reporting, and coordination with internal and external stakeholders. The position helps ensure financial accuracy and compliance while serving as a key liaison between Finance, Accounting, and Business teams.

In addition, the role manages check returns, NSF items, stale-dated payments, and supports enrollment audits and payment follow-ups.

Responsibilities

Billing, Invoicing, and Accounting Operations

• Serve as the primary point of contact between Key Accounts Operations and Accounting/Finance for financial questions and issue resolution.
• Create, validate, and distribute client and vendor invoices according to contracts and established billing cycles.
• Execute monthly billing processes, including validating amounts, ensuring proper allocations, and correcting discrepancies prior to distribution.
• Maintain financial records, including W-9 forms, billing documentation, contracts, and vendor account files.
• Evaluate existing financial and reconciliation processes for gaps or inefficiencies; design and recommend improvements, internal controls, or automation opportunities.
• Prepare data-driven presentations and reports for leadership, highlighting financial performance, operational efficiencies, and areas for corrective action.

Financial Reporting and Reconciliation

• Analyze billing, payment, and enrollment data to identify trends, anomalies, or risks; provide actionable insights and recommendations to leadership.
• Generate regular and ad-hoc financial reports related to billing, payments, vendor remittances, and client activity.
• Participate in program financial audits and provide required documentation and reports.
• Collaborate with the Reporting team to create and design program and department financial reports to track operations spend to budget.
• Develop financial projections, scenario analyses, and forecasting models to support budgeting, program planning, and decision-making.
• Facilitate monthly meetings with department leaders to review financials, propose efficiencies, and assess vendor payment inconsistencies needing follow up.
• Perform monthly, quarterly, and annual account and member enrollment reconciliations, including calculating, identifying, and resolving variances in payments, remittances, enrollments, and invoice applications.
• Analyze and audit enrollment data to validate the accuracy of premium billing and remittances; collaborate with eligibility teams to correct inconsistencies.
• Investigate and process stale-dated checks, returned payments, and NSF transactions, coordinating follow-up and resolution.

Other

• Perform other duties as assigned.
• Use all capabilities to support organizational goals, including being curious, planning and executing work helpfully and collaboratively, adjusting efforts to be helpful to others, maintaining self-accountability, and delivering results.

Qualifications

• BA/BS degree in Accounting, Finance, Business Administration, or a related field.
• Three (3) to four (4) years of experience in accounting, billing, or reconciliation within a health benefits, TPA, insurance, or healthcare services setting preferred.
• Strong understanding of health benefits billing processes, enrollment/eligibility data management, and carrier payment reconciliation.
• Proficiency in Microsoft Excel, financial reporting, and ability to work with proprietary accounting or benefits administration systems.
• Excellent written and oral communication skills, including the ability to produce professional reports and correspondence.
• Strong analytical skills, including the ability to identify root causes of discrepancies and recommend corrective actions.
• Proven ability to work independently and collaboratively in a remote environment that meets company security and compliance requirements.

Remote/Home Setup Requirements

• Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
• Home router with wired Ethernet (wireless connections and hotspots are not permitted).
• A designated room for the office or steps taken to protect company information (e.g., facing the computer towards a wall).
• A functioning smoke detector, fire extinguisher, and first aid kit on site.
• Maintain a HIPAA-compliant workstation and use appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
• Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).

Physical Demands and Work Environment

• This role involves regularly communicating with others.
• Frequent movement around the office.
• Occasional use of tools, objects, and controls.
• Noise level in the work environment is usually moderate.
• Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.