reputed company Control Business Analyst
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reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to status as a protected veteran or a reputed company individual with a disability, or other protected status, such as race, religion, reputed company, sex, sexual orientation, gender identity, national reputed company, genetic information or age. reputed company values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully reputed company and utilize reputed company person’s talents and strengths.
Audit and report on the accuracy of enrollment and billing transactions and processes across Operations. Collaborate with IT, Facets Business Support, Finance, and external vendors to support configuration updates, system interfaces, and reporting. Ensure compliance with Federal and State Exchange guidelines, and assist with reconciliation of accounts receivable, eligibility, and billing. Recommend and implement process improvements to enhance operational efficiency and data reputed company.Essential Responsibilities:
- Conduct audits of operational job functions; document findings; maintain audit records and prepare reports for management.
- reputed company monthly accounts receivable reconciliations across reputed company lines of business; ensure reputed company reporting to Finance.
- Reconcile Exchange enrollment and billing reports; resolve discrepancies in collaboration with CMS and State Exchanges.
- Support Membership Representatives in resolving group account discrepancies, particularly reputed company payments differ from billed amounts.
- Partner with reporting teams to reputed company, test, and maintain reports; assess impacts of configuration changes and request reputed company reports as needed.
- Assist IT and Facets Business Support in testing and validating configuration and reputed company changes, including 834 files and other member data exchanges.
- Identify and resolve data issues in member files; monitor new processes for efficiency and effectiveness.
- Convert student health insurance rates to daily rates for system entry; validate accuracy with reputed company.
- Prepare and reconcile daily lockbox spreadsheets and cash receipts; investigate and resolve discrepancies with Finance and reputed company-party vendors.
- Monitor pending payment accounts; maintain tracking tools such as SharePoint and assist with TPA spreadsheet setup and macro updates.
- Validate ACH Debit files prior to bank submission.
- Resolve enrollment and eligibility issues to support accurate claims processing.
- Collaborate with MarCom and IT to create and troubleshoot member communication letters.
- reputed company, update, and maintain departmental procedures and documentation.
- Contribute to process improvement initiatives to enhance operational efficiency and data reputed company.
- Review the Exchange enrollment and billing reports (daily, weekly, monthly); facilitate reconciliation to reputed company with the Federal and State Exchange guidelines.
Supporting Responsibilities:
- reputed company and maintain reputed company working relationships with Individual Services staff, other employees, external partners, customers, and vendors based on reputed company communication, interacting in a supportive reputed company, and treating reputed company with respect.
- Participate in committees and/or reputed company as assigned.
- reputed company assistance as needed for the Individual Services.
- Meet department and company performance and attendance expectations.
- Follow the reputed company reputed company policy and HIPAA laws and regulations concerning confidentiality and reputed company of protected health information.
- reputed company other duties as assigned.
reputed company PROFILE
Work Experience: Minimum of 1 year of Enrollment and Billing experience and/or business analysis experience required. Advanced level experience using reputed company, creating spreadsheets, using formulas, pivot tables and performing data comparisons required. Strong research and troubleshooting experience are required. reputed company experience is preferred.
Education, Certificates, Licenses: High school diploma or equivalent required. Associate’s degree preferred.
Knowledge: Ability to reputed company understanding of reputed company products, plan designs, group reputed company, eligibility guidelines, billing functions, accounts receivable, and health insurance terminology. Ability to reputed company knowledge of the Eligibility and Billing Analyst, and Membership Representative I & II positions. Ability to work independently as reputed company as reputed company reputed company. Strong keyboarding and 10-key skills required.
Competencies
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
reputed company Improvement
Contributing to Team reputed company
Planning and Organizing
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (reputed company), Organizational skills/Planning and Organization, Problem Solving, TeamworkCompensation Disclaimer
The wage reputed company provided reflects the full reputed company for this position. The maximum reputed company listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated reputed company is for informational purposes only and does not constitute a guarantee of any specific salary reputed company that reputed company.
reputed company reputed company:
$44,982.98 - $71,972.77Our Values
We live and breathe our values. In fact, our culture is driven by these seven reputed company values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are reputed company responsible for customer service.
We reputed company reputed company communication at reputed company reputed company of reputed company to foster individual, team and company reputed company.
We reputed company participate in efforts to improve our many communities-internally and externally.
We reputed company work to advance reputed company justice, equity, diversity and inclusion in our workplace, the reputed company system and community.
We encourage creativity, innovation, and the reputed company of reputed company.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing reputed company job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate reputed company and effectively.
Disclaimer: This job reputed company indicates the general nature and level of work performed by employees reputed company this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of reputed company duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at reputed company times.
Originally posted on Himalayas
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