Financial Operations Analyst (Finance)
Bring your drive for excellence, team orientation and customer commitment to AHNJ; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you.
Financial Operations Analyst is responsible for the following:
- Weekly Claims Invoicing: Assist with reconciliation and resolution of claims variances on weekly claims invoices. Support the team goal to generate all invoices by EOD Monday.
- Monthly Admin Invoicing: Liaison between CI, the CABs team, and Billing team in resolving system issues which are causing barriers to generating monthly admin invoices. Support the team goal to generate all available admin invoices by the 25th of the month.
- Adjustments: Complete reconciliations for claims/admin billing adjustments. Work with Accounting team to resolve inquiries related to manual adjustments.
- Spec Advance: Upload weekly adjustments. Complete reconciliations for spec advance/ delayed billing. Perform monthly, quarterly, and annual reconciliations for all stop loss billing.
- Accounts Receivable: Assist with report creation / analytics to support Accounts Receivables processes. Support the team in completing account reconciliations. Support delinquency outreach.
· New Group Set-Up: Provide support for new group set-up, including PS distribution code set-up, CABs set-up, and project support for new business types.
- Become the SME within self-funded billing to be able to triage issues as they arise and work with other business areas to resolve any disbursements issues timely and accurately
- Work with internal/external auditors to appropriately identify controls within the billing space and make sure to retain and provide the appropriate audit documentation requested of these auditors on an as needed basis
- Conduct meetings with other counterparts at IBX related to billing and ensure that the appropriate operation back-end systems team are completing tasks related to disbursements timely and accurately
- Manage projects or enhancements on an as needed basis related to billing and ensure that the projects/enhancements are advancing timely and accurately
- Regularly updating management on any issues related to billing that require escalation or have a significant impact to multiple business areas
- Regularly serves as subject matter expert with Billing, Accounting, and operations as it relates to billing. Implement continuous process improvement efforts.
- Perform other duties as assigned
- 4-6 years of experience within HealthCare, Finance, or Accounting
- Minimum Associate degree, Bachelor's Degree preferred
- Strong interpersonal skills; Ability to interact with all levels of management and customers both internal and external. Previous experience handling escalated customer calls required.
- Strong communication skills, both written and verbal.
- Strong problem solving ability and skills to quickly and accurately investigate an issue and take to resolution little to no supervision
- Ability to work across departments (i.e. IS, Accounting/Sales/Claims) to support billing functions
- Demonstrated ability to complete routine task and handle work of a more complex nature. Ability to multi task required
- Strong technical ability required to employ and manipulate systems to generate needed reporting and validate reports to ensure data used is accurate. Must have ability to understand and work with multiple systems applications, such as Health Rules, Tableau, CABS, PeopleSoft and Microsoft Office, specifically Excel
- Demonstrated success working in a team environment comprised of various levels of talent, experience and motivation
- Demonstrated focus on continuous process improvement and leveraging efficiencies within the department
- Strong time management skills and the ability to meet deadlines
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
