Audit, evaluate, and report the accuracy of department transactions and processes and make recommendations for process improvement. Assist with audits for group accounts that are not reconciled, on an as-needed basis. Work as member of the Lockbox support team to ensure daily accounts receivable are reconciled. Work with the Business Analyst II to ensure testing, auditing, and department processes are completed according to department standards. Complete monthly accounts receivable reconciliation for Individual, Fully Insured Groups, Self-Funded Groups and Exchange lines of business. Work with IT, Facets Business Support, and external vendors on configuration changes, interfaces, and reports.
Work Experience: A minimum of two years Commercial Enrollment & Billing experience and/or business analysis experience required. Advanced level experience using Excel, creating spreadsheets, using formulas, pivot tables and performing data comparisons required. Strong research and troubleshooting skills are required. Accounting experience is preferred.
Education, Certificates, Licenses: Associate’s degree in business or accounting or 2 years additional business work experience required.
Knowledge: Ability to gain understanding of PacificSource products, plan designs, group contracts, eligibility guidelines, billing functions, accounts receivable, and health insurance terminology. Ability to gain knowledge of the Eligibility and Billing Analyst, and Membership Representative I & II positions. Ability to work independently as well as within a team. Strong keyboarding and 10-key skills required.
· Building Customer Loyalty
· Building Strategic Work Relationships
· Building Trust
· Continuous Improvement
Contributing to Team Success
Planning and Organizing
· Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.