Description and Requirements
•Process all lockbox files into Managed Healthcare Systems (MHS). Ensure all member payments are accurately processed to the appropriate account using the matching criteria and online decision
•Perform account analysis to ensure member balances are accurate and account balance is updated
•Process rejected payments, refunds for members identified with overpayments, payments received in-house, and daily payment rejections within SLA standards
•Complete the return item process which includes creating outreach letters for members
•Process payment batches within SLA standards
•Additional duties as assigned
Minimum Qualifications:
- High School Diploma or GED from an accredited institution
- Prior account analysis work experience
- Experience working with multiple Excel spreadsheets which include filtering and updating information on a daily basis
- Ability to enter data with speed and accuracy -
Experience with any business process and customer relationship management systems (i.e. Macess, etc.) where you have reviewed member account information and documented changes
Preferred Qualifications:
Associates Degree or higher from an accredited institution
- Experience with Microsoft Access as a database management system
- Experience with data mining, report analysis or reconciliation experience within a healthcare billing or commercial insurance environment
- Programming experience
- Experience with Macess as a business process and customer relationship management systems
- Familiarity with PHSP (Medicaid/Child Health Plus) products
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $47,403 - $62,400
All Other Locations (within approved locations): $41,101 - $60,320
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.