Customer Accounting Specialist II

Overview

This role supports a Third-Party Administrator (TPA) by managing key customer accounting and financial operations, including invoice handling, reconciliation, reporting, and coordination with internal and external stakeholders. Responsibilities also include managing check returns, NSF items, stale-dated payments, and supporting enrollment audits and payment follow-ups.

This is a remote opportunity with HQ in Irvine, CA.

Responsibilities

Billing, Invoicing and Accounting Operations

• Serve as the primary point of contact between Key Accounts Operations and Accounting/Finance for financial questions and resolution of issues.
• 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 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, providing relevant documentation and reports.
• Collaborate with the Reporting team to create and design necessary 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; 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

• 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).
• Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
• All other duties as assigned.

Requirements

• 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 with 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 security and compliance requirements.
• Home router with wired Ethernet (wireless connections and hotspots are not permitted).
• A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.).
• A functioning smoke detector, fire extinguisher, and first aid kit on site.

Compensation & Benefits

• Compensation: $53,667.86 - $74,768.32
• Benefits package includes profit-sharing.

Location

• Remote opportunity with HQ in Irvine, CA.

Work Environment / Physical Demands

• 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.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.