Accounting, Accounts Payable, Analysis Skills, Call Centers, Credit Cards, Credit and Collections, Customer Relations, Disbursements, Finance, Financial Management, Financial Operations, Insurance Documentation, Internet Portal, Microsoft Excel, Microsoft Word, Multitasking, Presentation/Verbal Skills, Problem Solving Skills, Sales, Team Player, Time Management
Medical Accounts Payable Analyst
Job Ref: TE0132
Category: Finance
Department: FINANCE ADMININSTRATION
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $55,000.00 - $64,791.00
Position Overview
The Medical Accounts Payable Analyst directly assists the Manager of Finance Medical Accounts Payable, by performing claim disbursement, premium collection, provider refunds, and analysis functions.
Scope of Role & Responsibilities
- Process payable request.
- Coordinate, track, and follow up as needed on cases and resolution activities to ensure timely resolution.
- Handle all Web and Portal Requests from providers and applicants, ensuring expeditious and appropriate handling/escalation.
- Assist with premium collections and processes of all lines of business. Ensure all EFT, credit card, and internal payments are entered and reconciled.
- Enter and reconcile premium collections in Medibill to ensure enrollees become eligible to achieve and maintain enrollment.
- Utilize multiple systems including PowerStepp, Medibill, JPMorgan, Health Rules Payor, Sales Force and Orbital to compile and analyze member or provider data and resolve issues.
- Assist in identifying recurring financial and operational issues related to medical and capitation payments.
- Maintain production and accuracy requirements of the unit.
- Regularly file and scan documentation
- Distribute and monitor weekly check runs and monthly capitation payments.
- Maintain and track provider and member payments returned to MetroPlusHealth as undeliverable and coordinate resolution with Provider Maintenance, IT, Claims, Enrollment & Membership, and Call Center teams.
- Handle the reprinting of provider Explanation of Benefits as required.
- Assist with premium posting.
- Support the Finance Division, as assigned, during peak activity times and in support of other staff during their time off.
- Responsible for other duties as assigned by Manager of Finance Medical Accounts Payable
Required Education, Training & Professional Experience
- Associate's degree required and 4 years of relevant administrative, finance, claim payment, or accounting processing experience; or Bachelor's degree and 2 years of experience or equivalency.
- A satisfactory equivalent combination of training, education, and experience
- Proficiency in Microsoft Excel and Word
Professional Competencies
- Integrity and Trust
- Customer Focus
- Functional/Technical skills
- Written/Oral Communication
- Analytical and problem-solving skills
- Ability to multitask
- Must have ability to work in a team environment
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Metroplus Health Plan Inc