Benefits Accounting Specialist

Job Description

The Benefits Accounting Specialist responsibilities include specialized accounting and auditing work related to the maintenance and reconciliation of group and policy holder premium accounts to reflect payments received for various types of insurance and benefits. Principal Activities May Include:

• Protect privacy and confidentiality of program participants' information and comply with HIPAA regulations.
• Recognize and deny forms/requests that are considered to be non-compliant and produce response letters that adhere to all EGID rules within the required accuracy ranges.
• Post payments accurately within four business days.
• Reconcile accounts within five business days.
• Process queries, reports, and special projects accurately and within deadlines, adhering to unit procedures and EGID rules.
• Process refund requests, NSF returns, write-offs, and un-refunds accurately and within specified deadlines, adhering to all unit procedures and EGID rules.
• Process Workflow referrals and daily mail within 5 working days, within the required accuracy ranges.
• Provide timely, accurate, and professional guidance to internal and external customers regarding billing/reconciliation matters and generate the proper correspondence.
• Attend recurring unit/department/division/agency meetings and any mandatory trainings provided by Member Accounts leadership or Human Resources.

Knowledge, Skills, Abilities And Competency Requirements

The EGID Benefits Accounting Specialist role requires strong knowledge of generally accepted accounting principles, auditing standards, employee state pension laws, federal COBRA guidelines, and relevant Internal Revenue Code sections. The specialist must possess skills in identifying and resolving discrepancies, accurately processing forms and reports, prioritizing tasks to meet critical deadlines, and maintaining compliance with HIPAA and EGID confidentiality regulations. Effective communication and professional customer service are essential when supporting internal and external stakeholders.

These responsibilities align closely with the competencies of Ensures Accountability, by meeting strict accuracy and timeliness standards; Problem Solving, by analyzing account issues and implementing effective resolutions; and Customer Focus, by providing timely, accurate, and professional guidance to customers.

Education And/or Experience

To be considered for this position your application must include a resume/CV with complete work and education history.

• 2 years of experience in bookkeeping work, insurance eligibility determination or closely related work and 1 year of experience in the maintenance, analysis and reconciliation of insurance or benefits accounts OR
• An equivalent combination of education and experience, substituting the completion of 30 semester hours of college, including 6 hours of accounting for each year of the required 2 years’ experience in bookkeeping work, insurance eligibility determination or closely related work only.

Preference Qualifications

• Bachelor’s degree in accounting or related field
• 2 years of experience with Microsoft Excel, Access, or related database experience
• 2 (two) years of experience in bookkeeping work or closely related work experience
• 2 (two) years of experience in the maintenance, analysis and reconciliation of insurance or benefits accounts

Physical Demands and Work Environment

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. In the course of performing job duties, employees are required to speak, stand, walk, and reach with their hands and arms. This position requires extended periods of sitting and daily use of computers and phones. Employees must be willing to complete all job-related travel associated with this position. Being present at the office is an essential function of this position.

Accommodation Statement

The Oklahoma Health Care Authority complies with applicable State and Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information.

Note To Applicants

Please add OHCAHR@okhca.org to the address book or “safe-senders” list in your email. All correspondence will come from this address. Be sure to check your junk folder. If you have questions about the status of your application, you can contact the HR team at 405-522-7093.