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Description
If you’re looking for a career that provides affordable health benefit solutions to the people who support some of the most vital industries, we’re looking for you.
At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management.
We are also a proud contracted partner with Covered California. As part of the Western Growers Family of Companies, we are committed to providing our employees with everything they need to succeed and grow.
We know that taking care of our clients starts with taking care of our employees. As a keystone of our philosophy, we recognize that every person on our team comes to us with a unique background, history and story that adds strength to our organization.
Additionally, employees are encouraged to recognize that there isn’t a work life and a home life, there is one life. This recognition throughout the organization emphasizes the value of finding a healthy and happy balance in every employee’s life.
One way this is realized for employees of Pinnacle Claims Management is flexible work arrangements with work-from-home, in-office or hybrid options.
With competitive compensation packages, premier investment support, enriching personal development and more, we strive for our employees’ job satisfaction and success.
Compensation : $51,853 - $72,409 with a rich benefits package that includes profit-sharing.
Job Description Summary
This position reports to the Director, Operations. This position is responsible for processing financial transactions in the company’s financial processing systems as it relates to individual and group billing, automated clearing house (ACH), and cash receipt processing.
The incumbent will also maintain and balance individual accounts receivables including delinquency processing and terminations.
Additionally, they will manage all financial aspects of reimbursement requests submitted by consumers, generating desired reports from the company’s financial processing system, and processing and approving reimbursement payments via the company’s financial processing systems.
Qualifications
facing computer towards wall, ·A functioning smoke detector, fire extinguisher, and first aid kit on site.
Duties And Responsibilities
Account Operations & Maintenance·Manage all key account contributions, premium reimbursements, and other client contributions.
Transaction Processing·Review and process all claims in the company’s financial processing systems.·Review and enter manual requests for reimbursement into the company’s financial processing system on the provider’s behalf and process the request via OPS Connect.
Customer Service·Work with the Eligibility Specialists to resolve unpaid and outstanding balances for providers, and other clients.
Other·Utilize all capabilities to satisfy one mission to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively.
Be willing to adjust efforts to ensure that work and attitude are helpful to others, be self-accountable, create a positive impact, and be diligent in delivering results.
Physical Demands / Work Environment
The physical demands and work environment described here represent those that an employee must meet to successfully perform this job’s essential functions.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others.
The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls.
Last updated : 2024-05-22
Full Time
Insurance
$80k-100k (estimate)
05/24/2024
08/02/2024
wga.com
IMPERIAL, CA
200 - 500
1926
Private
JEFF SIMS
$50M - $200M
Insurance
Western Growers is a non-profit organization that serves farmers and their families.
The job skills required for Finance specialist include Leadership, Billing, Written Communication, Customer Service, Process Improvement, Accounts Receivable, etc. Having related job skills and expertise will give you an advantage when applying to be a Finance specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Finance specialist. Select any job title you are interested in and start to search job requirements.
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