Job SummaryThis position is responsible for reviewing and verifying the billing information and setup for new and complex ASO accounts meet customer requirements, including preparing worksheet ledgers, database entries, and custom formats needed to support billing. Reviewing and processing weekly and monthly billing and settlement statements, including applying and verifying adjustments and balancing accounts. Tracking payments, producing necessary journal entries, and escalating or initiating collection on delinquencies. Reviewing administration payments for self-billed groups to identify and correct membership mismatches. Monitoring and clearing exception reports. Processing account annual renewals and terminations/bankruptcies. Documenting processes and procedures.
ESSENTIAL FUNCTIONS:- Prepares financial statements and reports for subsidiaries that are modest in scope or complexity, according to content and formatting guidelines, with first level analysis.
- Prepares and/or troubleshoots journal entries based on multiple inputs and complicated report formats.
- Performs account reconciliations that involve detecting system errors; determining that amounts were booked correctly; accounting for time lag differences; firm, consistent follow-through with other people/departments to fix items; using multiple sources; managing large volumes; and/or coordinating with multiple organizations. Recognizes and follows up on unusual or discrepant outputs.
- Processes complex, multi-source data, creating tables, uploading data, running queries to reformat, and balancing results.
- Evaluates data for reasonableness and research questions or troubleshoots errors that involve several systems, large spreadsheets, and/or have significant impact on the company. Makes judgment calls about interpretation and next steps and responds appropriately, keeping management informed.
- Reviews daily work, journal entries, or account or bank reconciliations performed at the clerical or accounting I level.
- Researches and troubleshoots challenging questions and unusual cases; answers complex or escalated questions or issues or volatile situations.
- Prepares reports that require analysis or evaluation as well as customization for the audience, including customized, ad hoc reports, with varying amounts of support in translating high level requirements into detailed report mapping.
- Handles transactions that require higher levels of security authorization.
- Documents processes and procedures.
- Tests system enhancements.
- Supports audits by collecting requested case information, for management approval.
- Communicate and interact effectively and professionally with co-workers, management, customers, etc.
- Complies with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
- Maintains complete confidentiality of company related business.
JOB REQUIREMENTS:- College degree in business with accounting coursework and 1 year of accounting experience or 5 years accounting experience.
- MS Office including Word and Excel.
- Analytical skills.
- Detail oriented.
- Clear, concise communication with good grammar, appropriate word choice.
PREFERRED JOB REQUIREMENTS:- Experience with MS Access.
- Experience with HCSC financial reporting systems.
- Experience with statutory accounting.
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