HIP Financial Bookkeeper III

Role and Responsibilities:

The HIP Financial Bookkeeper III performs a variety of accounting functions such as processing claims payments or insurance premium payments, verifying amounts, and posting transactions to accounting system. The Bookkeeper may be required to perform additional tasks or different duties.

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Key Responsibility Areas:

1. Satisfies Core Competencies

Accepts responsibility for ensuring that performance meets the standards of the professional, ethical, and relevant legislated requirements. Intermediate computer skills using Excel, Word, etc. Perform complex clerical work and mathematical calculations with speed and accuracy.

2. Claims and Premium Payment Processing

· Processing claims

· Enter eligible payments for client’s cost-shares and/or premium payments into payment system.

· Report any discrepancies to HIP Customer Relations Coordinator when applicable.

· Enter data from source documents into prescribed computer database, files, and forms.

3. Claim Management

· Research accounting spreadsheets ensuring non-duplication of payments prior to posting payment.

· Verify accuracy of payments and payment address to providers and insurers

· Forward ticket to HIP Customer Relations Coordinator when premium payments are needed.

· Close tickets once the inquiry has been answered or resolved.

4. Payment Management

· Respond to inquiries received by phone from clients and providers.

· Process payments timely in accordance with guidelines set forth by contractor.

· Scan checks and backup documentation into the designated system.

· Electronic banking transactions such as ACH, bill pay, etc

· Establish and maintain a variety of complex recordkeeping systems and prepare a variety of financial and statistical reports related to assigned areas of responsibility.

· Ensuring at the end of the day that all check sessions have been posted to ensure that payments are captured for positive pay.

· Updating the cleared check spreadsheet daily with information provided by Accounting.

5. Other Duties

· Take lead responsibility for the HIP Bookkeepers and provide training to other bookkeepers.

· Update payment records daily

· Adhere to departmental policies, procedures, and objectives.

· Maintain patient confidentiality and comply with all federal and state health information privacy laws.

· Performs related duties as assigned.

Minimum Qualifications:

· A high school diploma required.

· Associate degree in accounting or business technology and six years relevant experience in healthcare, health insurance or TPA setting or six years’ experience in the same setting.

· High level of knowledge of Microsoft Office

Physical Requirements:

The physical demands described here are representative of those that must be met by the employee to successfully perform the essential functions of this job. 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, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach

· Specific vision abilities required by this job include close vision requirements due to computer work

· Light to moderate lifting is required

Work Environment:

The work environment characteristics described here are representative of those the employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Moderate noise (i.e. business office with computers, phone, and printers, light traffic).

· Ability to work in a confined area.

· Ability to sit at a computer terminal for an extended period of time.

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Travel or Special Requirements:

Driving during the workday as well as local or out of state travel may be required to perform job duties.