Company

The Health Plan Of West Virginia IncSee more

addressAddressWheeling, WV
type Form of workFull-Time
CategoryAccounting/Finance

Job description

Job Description

The Accounts Receivable Representative’s primary responsibility is producing accurate billings statements, maintaining accurate accounts receivable records, and assuring controlled and timely collections and documentation.

Required:

  1. High school diploma or equivalent;
  2. Effective computer, analytical, organizational and customer skills;
  3. Experience with computer spreadsheets and Microsoft Office Programs (Word, Excel, Outlook);
  4. Ability to multi-task;
  5. Excellent telephone skills.

Desired:

  1. Associates Degree in Accounting preferred;
  2. Experience in billing or account receivable preferred.

Responsibilities:

  1. Responsible for involving, collecting, and posting premiums from assigned employer groups and/or members.
  2. Research, balance and post any lockbox or direct pay payments and payment kick outs.
  3. Process refunds
  4. Coordinating with Enrollment Services and Marketing representatives to ensure member eligibility.
  5. Obtain funding approvals for self-funded, administrative services only (ASO) group check runs.
  6. Provide select self-funded, ASO groups with monthly cash disbursements.
  7. NSF collections
  8. Pend/Unpend Cobra members when the employer sends verification that COBRA premium have been paid.
  9. Maintaining employer group billing files and the accuracy of the accounts receivable system.
  10. Responsible for working actiongrams and work flow notifications in Heart.
  11. Notify members regularly by letter/phone regarding any payment related issues.
  12. Save, balance, and distribute month end reports.
  13. Maintain billing copies in the Document Repository.
  14. Provide Form 5500 information for employer groups when requested.
  15. Prepare Medical certifications for members' housing when requested.
  16. Distribute department mail to the correct staff.
  17. Invoice reconciliations.
  18. Multiple Employer Welfare Arrangements (MEWA) Invoicing
  19. LEP reconciliation
  20. Responsible for invoicing, collecting and posting for Benefits Administration business.
  21. Provide self-funded groups with specialized reports.
  22. Monitor self-funded bank accounts to track funding and payments related to self-funded group activity.
  23. Gather information and assist with A/R audits.
  24. Reconcile self-funded group bank statements
  25. Assist A/R Manager with high level tasks including special reporting under strict timelines.
  26. Complete various worksheets on a weekly basis as request by Manager.
Refer code: 9129480. The Health Plan Of West Virginia Inc - The previous day - 2024-04-24 18:03

The Health Plan Of West Virginia Inc

Wheeling, WV
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