Customer Accounting Specialist II

Overview

The Customer Accounting Specialist II supports the financial and accounting activities of the Third-Party Administrator (TPA) by managing invoices, reconciliation, reporting, and coordination with internal and external stakeholders. This role helps ensure financial accuracy and compliance while serving as a key liaison between Finance, Accounting, and business teams. The position also 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 in accordance with contracts and established billing cycles.
• Execute monthly billing processes; validate amounts, ensure proper allocations, and correct 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 requiring 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 by providing relevant documentation and reports.
• Collaborate with the Reporting team to create and design program and department financial reports to track operational spend against 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; calculate, identify, and resolve variances in payments, remittances, enrollments, and invoice applications.
• Analyze and audit enrollment data to validate accuracy of premium billing and remittances; collaborate with eligibility teams to correct inconsistencies.
• Investigate and process stale-dated checks, returned payments, and NSF transactions; coordinate follow-up and resolution.

Other

• Perform other duties as assigned.

Requirements

• Maintain internet speed of 40 MB download and 10 MB upload and a router with wired Ethernet.
• 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 / Work Environment

• Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.
• Regularly required to communicate with others.
• Frequently required to move around the office.
• Often required to use tools, objects, and controls.
• Noise level in the work environment is usually moderate.

Location

Not specified in the provided job description.