Financial Specialist II

Overview

This remote position supports financial transaction processing and account management for employer-sponsored health benefit plans serving the agriculture industry. The role involves managing group and individual billing, Automated Clearing House (ACH) transactions, cash receipt processing, and vendor payments. It requires maintaining and balancing accounts receivable, managing delinquency processes, and supporting claims funding and invoicing.

Responsibilities

Customer Account Management & Maintenance

• Manage contribution/premium reimbursements, COBRA/Retiree reimbursements, and vendor pass-through payments.
• Verify and authorize vendor payments within four business days of account funding.
• Oversee funding and release of self-funded claims payments.
• Reconcile group ledger accounts by matching payments to invoices, investigating discrepancies, collaborating with internal and external partners, and maintaining audit documentation.
• Monitor bank accounts daily for exceptions such as returned items, overdrafts, and stop payments; resolve or escalate issues.
• Complete month-end financials by the fifth business day and assist with mid-month cash application audits.
• Manage bank lockbox, ACH/Wire programs, retiree invoicing, and receivable management.
• Support Flexible Spending Account (FSA), Health Savings Account (HSA), and Health Reimbursement Arrangement (HRA) programs.
• Manage delinquency processes for accounts.
• Oversee third-party pharmacy processes including reviewing claim data files, coordinating billing and invoicing, validating contract pricing, and ensuring timely file audits and uploads.

Process Management

• Process and verify manual adjustments on group ledgers for various accounts.
• Perform bank reconciliations and initiate ledger adjustments.
• Verify and authorize refunds for terminations and overpayments.
• Apply cash to ledgers and research application issues.
• Provide backup support for invoice generation, cash application, and other accounting duties.
• Handle written and verbal account inquiries promptly.
• Prepare ad hoc reports as requested.
• Identify process inefficiencies and recommend improvements.
• Create and document Standard Operating Procedures (SOPs).
• Perform ledger reconciliations to ensure accuracy and compliance.

Customer Service

• Collaborate with Eligibility Specialists to resolve unpaid or outstanding balances.
• Act as liaison to other departments for issue resolution.
• Provide timely and effective customer service addressing account-related inquiries.
• Represent the organization professionally and discreetly in all interactions.
• Mentor junior Customer Accounting Specialists.
• Consistently meet processing cycle time standards and production deadlines.

Other Duties

• Maintain a HIPAA-compliant workstation and ensure protection of confidential client data.
• Maintain required internet speed and wired Ethernet connection.
• Maintain safety equipment such as smoke detectors, fire extinguishers, and first aid kits.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree in accounting, finance, business, or related field preferred; or equivalent combination of education and experience.
• Three to five years of relevant experience.
• Ability to prioritize, multitask, work under pressure and deadlines, independently or in a team.
• Proficiency in Microsoft Excel (intermediate), Word, and Outlook.
• Experience with customer account reconciliations and discrepancy resolution.
• Excellent written and oral communication skills, including professional business correspondence and phone etiquette.
• Customer service oriented.
• Ability to analyze and resolve technical problems and client inquiries.
• Knowledge of healthcare eligibility and billing procedures, HIPAA, COBRA, Cal-COBRA, MEWA, and ERISA regulations.
• Understanding of the health insurance industry.
• Ability to work overtime as needed.
• Reliable internet access with minimum 40 MB download and 10 MB upload speeds via cable or fiber.
• Home router with wired Ethernet connection (wireless and hotspots not permitted).
• Designated workspace ensuring confidentiality (e.g., computer facing wall).
• Functioning smoke detector, fire extinguisher, and first aid kit on site.

Physical Demands and Work Environment

• Regular communication with others.
• Frequent movement around the office.
• Use of tools, objects, and controls.
• Moderate noise level.
• Reasonable accommodations available for individuals with disabilities.

Compensation and Benefits

• Salary range: $53,667.86 to $74,768.32 annually.
• Rich benefits package including profit-sharing.

Location

• This is a fully remote position; candidates may reside anywhere in the United States.