Manage accounts receivable/payable, post payments and reconcile bank/TCD accounts, process biweekly payroll and payroll liabilities, submit and follow up on clinical claims in eCW, post PCC payments, and support billing and reconciliation with regular reporting and customer inquiries.
Purpose: The Accounting Specialist assists the Director of Finance in the areas of eligibility, enrollment, accounts payable/receivable, payroll, and other duties as appropriate.
Responsibilities:
Accounting Specialist will perform the following within the time frames indicated below
- Accounts receivable and payable under the direction of the Director of Finance
- Sending monthly invoices to IPA and NCHIIN Customers
- Following up on any unpaid balances due at least monthly
- Posting payments received in Sage at least weekly
- Maintain timely processing of Accounts Payable
- Review open accounts payable invoices for payment and submitting for signature and approval.
- Processing Payroll biweekly and managing the following:
- Payroll tax-related liabilities
- Workers’ compensation and other payroll-related liabilities, including but not limited to health plan premiums and retirement contributions
- Wage allocation to appropriate projects and departments
- Bank Reconciliation, including:
- Daily reconciling all electronic deposits and deductions daily for the IPA General Account
- Record monthly TCD interest accruals.
- Reconcile all bank, money market, and TCD accounts monthly with a special focus on claim account checks
- Processing Blue Shield Reimbursable payments and follow up on unreimbursed claims at least once monthly
- Process payments from stop loss; posting in Business Works and sending payments to appropriate health plan
- Priority Care Center Claims and Accounts receivables:
- Submit Claims weekly in eCW
- Work closely with PCC clinic manager /other staff person and customer service representative to follow up on outstanding PCC claims.
- Post PCC payments daily (web payments, ERA, insurance and patient’s payments) in eCW.
- Monthly reconciliation of PCC HMO capitation-compare list to eCW and update as necessary
- Receive calls from patients with questions regarding their statement, balance, etc.
- Run eCW accounts receivable reports and work accounts at least monthly.
Other Projects and Duties – As Assigned
QualificationsQualifications:
- Bookkeeping experience
- Medical office or related experience.
- Basic knowledge of CPT, HCPCS and ICD9 coding.
- Excellent communication and customer service skills.
- Excellent computer skills.
- Knowledge of Sage 50 preferred
Characteristics:
- Well organized, detail oriented and efficient.
- Demonstrates effective communication skills with all types of customers and vendors.
- Ability to work with multiple projects and prioritize appropriately to meet deadlines.
- Follows detailed instructions and works with minimal supervision.
- Ability to work well both with others and independently.
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