Medical Accounts Payable Analyst

Position Overview

The Medical Accounts Payable Analyst directly assists the Manager of Finance Medical Accounts Payable, by performing claim disbursement, premium collection, provider refunds, and analysis functions.

Scope of Role & Responsibilities

• Process payable request.
• Cookordinate, track, and follow up as needed on cases and resolution activities to ensure timely resolution.
• Handle all Web and Portal Requests from providers and applicants, ensuring expeditious and appropriate handling/escalation.
• Aid with premium collections and processes of all lines of business. Ensure all EFT, credit card, and internal payments are entered and reconciled.
• Enter and reconcile premium collections in Medibill to ensure enrollees become eligible to achieve and maintain enrollment.
• Utilize multiple systems including PowerStepp, Medibill, JPMorgan, Health Rules Payor, Sales Force and Orbital to compile and analyze member or provider data and resolve issues.
• Aid in identifying recurring financial and operational issues related to medical and capitation payments.
• Maintain production and accuracy requirements of the unit.
• Regularly file and scan documentation
• Distribute and monitor weekly check runs and monthly capitation payments.
• Maintain and track provider and member payments returned to MetroPlusHealth as undeliverable and coordinate resolution with Provider Maintenance, IT, Claims, Enrollment & Membership, and Call Center teams.
• Handle the reprinting of provider Explanation of Benefits as required.
• Aid with premium posting.
• Support the Finance Division, as assigned, during peak activity times and in support of other staff during their time off.
• Responsible for other duties as assigned by Manager of Finance Medical Accounts Payable

Required Education, Training & Professional Experience

• Associate’s degree required and 4 years of relevant administrative, finance, claim payment, or accounting processing experience; or Bachelor’s degree and 2 years of experience or equivalency.
• A satisfactory equivalent combination of training, education, and experience
• Proficiency in Microsoft Excel and Word

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication
• Analytical and problem-solving skills
• Ability to multitask
• Must have ability to work in a team environment