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Accounting Clerk - Accounts Receivable

The Health Plan

  • Wheeling, WV
  • 8 days ago

    Highlights

    High school diploma or equivalent; Effective computer, analytical, organizational and customer skills; Experience with computer spreadsheets and Microsoft Office Programs (Word, Excel, Outlook); Ability to multi-task; Excellent telephone skills. Monitor self-funded bank accounts to track funding and payments related to self-funded group activity.

    Numbers & Facts

    LocationWheeling, WV
    IndustryInsurance
    Company Size500 to 999 employees

    Description

    POSITION SUMMARY:

    The Accounts Receivable Representative's primary responsibility is producing accurate billings

    statements, maintaining accurate accounts receivable records, and assuring controlled and timely

    collections and documentation.

    QUALIFICATIONS REQUIRED: (Education, Experience, Skills)

    1. High school diploma or equivalent;

    2. Effective computer, analytical, organizational and customer skills;

    3. Experience with computer spreadsheets and Microsoft Office Programs (Word, Excel, Outlook);

    4. Ability to multi-task;

    5. Excellent telephone skills.

    QUALIFICATIONS DESIRED: (Education, Experience, Skills)

    1. Associates Degree in Accounting preferred;

    2. Experience in billing or account receivable preferred.

    ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

    1. Responsible for invoicing, collecting, and posting premiums from assigned employer groups and/or

    members.

    1. Research, balance and post any lockbox or direct pay payments and payment kickouts.

    2. Process refunds

    3. Coordinating with Enrollment Services and Marketing representatives to ensure member

    eligibility.

    1. Obtain funding approvals for self-funded, administrative services only (ASO) group check runs.

    2. Provide select self-funded, ASO groups with monthly cash disbursements.

    3. NSF collections

    4. Pend/Unpend Cobra members when the employer sends verification that COBRA premium have been

    paid.

    1. Maintaining employer group billing files and the accuracy of the accounts receivable system.

    2. Responsible for working actiongrams and work flow notifications in Heart.

    3. Notify members regularly by letter/phone regarding any payment related issues.

    4. Save, balance, and distribute month end reports.

    5. Maintain billing copies in the Document Repository.

    6. Provide Form 5500 information for employer groups when requested.

    7. Prepare Medical certifications for members' housing when requested.

    8. Distribute department mail to the correct staff.

    9. Invoice reconciliations.

    10. Multiple Employer Welfare Arrangements (MEWA) Invoicing

    11. LEP reconciliation

    12. Responsible for invoicing, collecting and posting for Benefits Administration business.

    13. Provide self-funded groups with specialized reports.

    14. Monitor self-funded bank accounts to track funding and payments related to self-funded group activity.

    15. Gather information and assist with A/R audits.

    16. Reconcile self-funded group bank statements

    17. Assist A/R Manager with high level tasks including special reporting under strict timelines.

    18. Complete various worksheets on a weekly basis as request by Manager.

    8:00am - 5:00pm

    40

    About Company

    The Health Plan, established in 1979, is one of the largest locally managed care organizations in Ohio and West Virginia, serving over 350,000 covered lives. As a federally qualified and state certified 501 (c)(4) not-for-profit HMO, our goal is to provide high quality, comprehensive, and cost-effective health care. Our self-funded division, available in all 50 states, is the fastest growing product within in the organization offerings. The Health Plan is an established and financially secure organization and West Virginia's first and largest HMO.

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