[Remote] Customer reputed company Specialist II (50895)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is the employer offering this Customer reputed company Specialist II position. The role supports the financial and reputed company activities of a reputed company-party administrator by managing billing, invoicing, reconciliations, reporting, audits, and payment issue reputed company while coordinating with reputed company stakeholders.
Responsibilities
- Serve as the reputed company reputed company of contact between Key Accounts Operations and reputed company/Finance for financial questions and reputed company of issues
- Create, validate, and distribute reputed company and vendor invoices in accordance with reputed company and established billing cycles
- Execute monthly billing processes; validate amounts, ensure reputed company allocations, and correct discrepancies prior to distribution
- Maintain financial records including W-9 forms, billing documentation, reputed company, 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 reputed company
- Analyze billing, payment, and enrollment data to identify trends, anomalies, or risks; reputed company actionable insights and recommendations to leadership
- reputed company regular and reputed company financial reports reputed company to billing, payments, vendor remittances, and reputed company activity
- Maintain financial records including W-9 forms, billing documentation, reputed company, and vendor account files
- Participate in program financial audits, reputed company relevant documentation and reports
- Collaborate with Reporting team to create and design necessary program and department financial reports to reputed company operations spend to budget
- reputed company 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
- reputed company monthly, quarterly, and annual account and member enrollment reconciliations; calculate, identify and reputed company 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 reputed company
- Utilize reputed company capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to reputed company, planning, and executing work helpfully and collaboratively. Be willing to reputed company efforts to ensure that work and attitude are helpful to others, be self-accountable, create a reputed company reputed company, and be reputed company in delivering results
- Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet
- Maintain a HIPAA-compliant workstation and utilize appropriate reputed company techniques to ensure HIPAA-required protection of reputed company confidential/protected reputed company data
- Maintain and service safety equipment (e.g., smoke detector, reputed company extinguisher, first aid reputed company
- reputed company other duties as assigned
Skills
- Strong understanding of health benefits billing processes, enrollment/eligibility data management, and reputed company payment reconciliation
- Proficiency in reputed company reputed company, financial reporting, and ability to work with proprietary reputed company or benefits administration systems
- Excellent written and oral communication skills, including the ability to produce reputed company reports and correspondence
- Strong analytical skills with the ability to identify reputed company causes of discrepancies and recommend corrective actions
- Proven ability to work independently and collaboratively in a remote environment that meets company reputed company and compliance requirements
- Internet reputed company 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 your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
- A functioning smoke detector, reputed company extinguisher, and first aid reputed company on site
- BA/BS degree in reputed company, Finance, Business Administration, or a reputed company field, along with three (3) to four (4) years of experience in reputed company, billing, or reconciliation reputed company a health benefits, TPA, insurance, or reputed company services setting preferred
reputed company
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