STJ St. Joseph's Hospital
Insurance Accounting Specialist (HYBRID) - Peak Health
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Job Description
- Req#: JR25-20409
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Hybrid work schedule (2-3 days on-site) providing flexibility
- Competitive pay with scheduled weekly hours of 40
- Supportive and collaborative work environment
- Chance to make a positive impact on financial operations within a health plan
What to Expect (Job Responsibilities):
- Process monthly premium billing cycle for ASO PEPM fees and Medicare Advantage enrollees, including reconciliation of invoices
- Research and resolve finance-related customer relationship management (CRM) requests, communicating resolutions to internal teams and external vendors
- Communicate weekly claims funding totals for both capitated and non-capitated claims to ASO clients
- Manage vendor information for accuracy to ensure timely processing of payments
- Compile and process accounts payable while ensuring Medicare Advantage claims are settled promptly
What is Required (Qualifications):
- Associate's Degree in finance, accounting, or a business-related field
- Minimum of two (2) years of accounting or finance-related experience
- Proficient in using computers and standard office equipment
- Ability to maintain confidentiality and adhere to HIPAA regulations
- Strong organizational skills with attention to detail
How to Stand Out (Preferred Qualifications):
- Experience in health plan financial operations
- Familiarity with claims processing and accounts payable functions
- Knowledge of federal regulations related to financial documentation
- Experience with document preparation and records management
- Strong interpersonal skills for maintaining relationships across the organization
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