Accounting Specialist

Duties and Responsibilities

• Credentialing activities for contracted providers
• Maintain credentialing files in accordance with CMS, DHCS, and organizational requirements
• Monitor provider compliance with contract requirements
• Monitor expiring licenses and certifications and initiate renewals
• Prepare credentialing reports and audits
• Manage the three-way and two-way matching processes and work with business partners to resolve issues
• Verify documentation for accuracy and compliance with company policies
• Reconcile vendor statements and resolve discrepancies
• Process monthly Share of Cost invoicing and reconciliation of payments
• Communicate effectively with vendors and internal customers to identify and correct issues
• Process invoices accurately and timely, mail payments, and maintain filing records
• Support annual audits and regulatory reviews

Qualifications

• At least two years of experience in healthcare administration, accounting, or a related field
• Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field required; equivalent combination of education and experience may be considered
• Proficiency with Microsoft Office and accounting software
• Strong problem-solving skills and attention to detail
• Demonstrated ability to plan, organize, meet deadlines, and adapt to changing priorities
• Excellent communication, critical-thinking, problem-solving, and organizational skills, with the ability to work under pressure in a fast-paced environment
• Ability to work effectively in a multidisciplinary environment