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Company

ExcellusSee more

addressAddressNew York, NY
type Form of workFULL_TIME
salary Salary$58K - $80K (Glassdoor est.)
CategoryInformation Technology

Job description

The Reconciliation Analyst is responsible for analysis of premium billing/claims receivables and reporting used to monitor and measure business activity within the limits of established practices, policies and procedures. This position is accountable for analyzing operational activities related to premium billing/claims receivables, and for addressing any discrepancies between premium/claims billing and payment. In addition, this position creates models and makes recommendations for procedure changes based on analysis completed.


Essential Accountabilities

All Levels

  • Prepares regular and periodic reports for the review and guidance of management, including the operations reporting of all transactions which include transaction analysis and recommendations.
  • Investigates, works, analyzes, tracks and monitors operational issues identified during the financial balancing activities and initiates necessary requests of other operational areas to solve identified problems or recommendations for future initiatives.
  • Performs assigned basic financial analysis (e.g., A/R, group/claims trends) and/or assists in financial analysis for supervisory review. Creates models and makes recommendations for procedure changes based on analysis completed.
  • Monitors, measures, and analyzes business activity within the limits of established practices, policies and procedures and makes necessary recommendations based on analysis.
  • As requested, performs special tasks and assignments and acts in the absence of the Manager.
  • Prepares documentation for all internal and external audit requests; participates in audit discussions.
  • Functions as operations department representative on assigned corporate teams involving project implementations and/or evaluation and improvement of operational practices.
  • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs
  • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
  • Regular and reliable attendance is expected and required.
  • Performs other functions as assigned by management.

Level II – (in addition to Level I Accountabilities):

  • Defines requirements for improving existing processes and/or developing new processes relating to the Billing Reconciliation & Analysis department.
  • Collects and analyses division data which will be used to identify and resolve system problems that result in discrepancies in the financial balancing reports.
  • Participates as a Test Lead during projects and conversions for the department.
  • Serves as a subject matter expert for all reconciliation functions and processes.
  • Shares knowledge with newer department employees.

Minimum Qualifications

NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.


All Levels

  • HS Diploma/GED with 9 years’ experience or Associate Degree with 6 years’ experience, or Bachelor's Degree with 3 yrs experience.
  • Expertise in financial modeling.
  • Strong analytical abilities.
  • Intermediate communication skills required.
  • Basic MS Excel and Cognos skills required.
  • Strong knowledge of MS Word, Access, and PowerPoint required
  • Relational database applications experience is required; intermediate database skills required.
  • Must possess a high degree of professionalism and be able to establish effective working relationships with all levels of the corporation.
  • May require periodic travel to other divisional offices.
  • Remains current on divisional procedures, policies and regulations


Level II – (in addition to Level I Qualifications):

  • HS Diploma/GED with 10 years’ experience or Associate Degree with 7 years’ experience or a Bachelor’s Degree with 4 years’ experience.
  • Demonstrated expertise in statistical, project management, and analytical skills.
  • Intermediate MS Excel and Cognos skills required.

Physical Requirements

  • Ability to travel across the Health Plan service region for meetings and/or trainings as needed.

************


One Mission. One Vision. One I.D.E.A. One you.


Together we can create a better I.D.E.A. for our communities.


At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that’s why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action townard greath health equity.

We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply.


OUR COMPANY CULTURE:

Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.


In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.


Equal Opportunity Employer

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Refer code: 3328500. Excellus - The previous day - 2023-03-23 07:36

Excellus

New York, NY
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