Location: Remote
Duration: 6 months
Description:
This position is responsible for researching and resolving discrepancies between internal plans systems and/or CMS. Engagement with other business partners such as Customer Care, CTM/Grievances, Account Management, and the client may be necessary. All assigned tasks will need to be resolved quickly with high levels of accuracy.
Resolutions may include analysis in multiple systems (Market Prominence, Facets, PeopleSafe, Rxclaim, SAP, etc.), updating member accounts, creating documentation, or contacting the member.
Additionally, this individual would be expected to provide feedback to their leadership team, internal/external business partners, and their peers if any trends, issues, or systemic challenges are encountered.
The ideal candidate will have an inquisitive nature, enjoy problem solving, is computer proficient, willing to learn and is interested in helping to ensure our membership is receiving the correct benefits expected.
The AR Representative is charged with maximizing cash flow by ensuring that an accurate and complete accounting of each members balance due is maintained.
This position will also be responsible for documenting and executing account reconciliation through potential adjustments and refunds due on beneficiarys account.
The representative will also be monitoring and working payment errors and reversal reports on a weekly basis.
Reconcile daily cash transactions posted into Facets.
Ensure group receipts are properly loaded into Facets based on established SLAs.
Update daily cash databases.
Validate ACH bank drafts. Analyze monthly suspense report to ensure refunds and adjustments to member accounts occur in a timely manner.
Maintain the documentation and process flow for department policies and procedures.
Create and generate monthly department metric reports.
Create monthly transaction reports for Accounting.
Assist with processing beneficiary's requests for account reconciliation in relation to their payments, invoices and adjustments. Assist in ad hoc assignments when needed.
The position is agile and the contractor may assist different team across the billing and reconciliation department.
This includes reconciling our systems to be sure the membership is billed correctly and their enrollment information is correct in our systems.
A minimum of 2 years related work experience required Strong verbal and written communication skills required Strong data entry (Excel/Access) and typing skills required Must be able to work independently as well as the able to work as part of a team Knowledge of Medicare Part D and accounting or finance is beneficial, but not required
Education: Verifiable High School Diploma or GED is required. Bachelors degree in business is preferred.
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
