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Reconciliation Analyst remote - MediGold
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Job Description
- Req#: 00592304
Employer Industry: Medicare Advantage Insurance
Why consider this job opportunity:
- Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one
- Retirement savings account with employer match starting on day one
- Generous paid time off programs
- Tuition/professional development reimbursement starting on day one
- DailyPay option available for eligible colleagues, allowing access to earned wages before payday
- Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups
What to Expect (Job Responsibilities):
- Plan, organize, conduct, and monitor the enrollment and reconciliation process for accurate membership processing
- Reconcile CMS transaction reply reports against membership files to ensure accuracy and compliance with federal requirements
- Maintain knowledge of CMS regulations related to enrollment, disenrollment, billing, and special statuses
- Compile documentation to support special status payment requests to governmental agencies
- Monitor and manage membership and financial transactions, including payment posting and reconciliation
What is Required (Qualifications):
- Associate's degree in business or related field preferred; equivalent experience required
- Managed care insurance industry experience required
- Ability to apply regulations to work processes
- Proven ability to collaborate with internal and external groups for reconciliation
- Strong analytical and problem-solving skills
How to Stand Out (Preferred Qualifications):
- Knowledge of computer systems including Microsoft Office
- Service-oriented mindset with effective customer issue resolution skills
- Proven skill in tracking and reporting financial and statistical data
#MedicareAdvantage #HealthcareCareers #CompetitiveCompensation #DiversityAndInclusion #CareerGrowth
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