Pittsburgh, PA, US
1 day ago
Accts Rec Claims Analyst, Assoc (Hybrid Remote)

Purpose:
The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, claims utilization billing, and employer group reimbursements are completed accurately and timely. They will work to maintain existing clients, onboard new clients, and assist in identifying and resolving issues in a proactive and timely manner. They will frequently engage with Product Management, and Sales & Account Management in maintaining our service levels to our external employer group customers that have our HRA, FSA, ASO & Stop Loss product offerings.

This position allows a flexible hybrid work schedule.  A minimum of two days per week are required in the office.

Responsibilities:

Maintain an understanding of all industry-wide HRA, FSA, ASO & Stop Loss product offerings Perform client payment processes including direct debiting, while working with the Accounting Department to ensure that client payments are being received and reconciled appropriately Perform weekly HRA, FSA & ASO claims utilization billing, while ensuring stop loss billing arrangements are functioning as intended Reconcile weekly HRA, FSA & ASO claims from our claims system and other data sources, to our reporting & billing system, for external employer group clients to ensure that all relevant claims are set to be billed appropriately Interface with internal and external customers via a dedicated email service account, to assure resolution of inquiries and concerns. Monitor and ensure that client receivables are maintained within contracted terms Assist project teams and workgroups to benefit improvements & process changes for HRA, FSA, ASO & Stop Loss products. Assist in internal/external audits that pertain to HRA, FSA, ASO & Stop Loss products Support the provider EFT update process including phone outreach to providers to confirm bank information.
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