Financial System Analyst

• Participate in projects as a test lead role to support corporate initiatives and provide system test support. The Senior Financial System Analyst communicates business need and requirements relevant to the success of system or product implementation to include communication on issues and project status to management. Ability to trouble-shoot system problems and collect relevant information to solve problem or determine best solution with minimal risk and impact to our customers. Provides guidance and recommendations on resolving complex issues with coordination from other business leads and management. Also provides guidance to junior staff on more complex issues. Serves as a key liaison between business and technical teams by supporting Agile processes, facilitating sprint planning, backlog refinement, and daily stand-up meetings.
• Validate HIPAA Electronic Data Interchange (EDI) transactions related to Electronic Remittance Advice (ERA); and research and resolve transaction errors, transaction balancing issues, and data discrepancies. Balances system-generated claims payment by investigating and resolving payment variances, out-of-balance conditions, and other payment-related discrepancies.
• Performs medium to high complexity balance sheet account reconciliation on a monthly basis including but not limited to benefit expense account balance to underwriting, cash, receivable and payable account reconciliation. Prepares reconciliation and documentation for internal and external audit review. Balance claims system payments and identifies and resolve discrepancies with minimal supervision.
• Prepares and reviews Standard Journals, Reimbursements Journal, and Journal Entries for input to the General Ledger. Perform wire transactions and other payment-related activities. Document workflows and policy and procedures related to the payment activities. Performs analysis of financial data and assists management in compiling information for financial reporting or audits.
• Review compliance guidelines including but not limited to HIPAA Core Rules, Washington Publishing Company Updates, BCBS Association updates. Research and analyze other Federal and State regulatory requirement. Leads or facilitates communication with key stakeholders to implement requirements.
• Performs all other miscellaneous responsibilities and duties as assigned or directed

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