Demo

Accounting Clerk

The Health Plan of West Virginia, Inc.
Wheeling, WV Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 6/4/2025

The Accounts Receivable Representative's primary responsibility is producing accurate billings statements, maintaining accurate accounts receivable records, and assuring controlled and timely collections and documentation.

Required :

  • High school diploma or equivalent;
  • Effective computer, analytical, organizational and customer skills;
  • Experience with computer spreadsheets and Microsoft Office Programs (Word, Excel, Outlook);
  • Ability to multi-task;
  • Excellent telephone skills.

Desired :

  • Associates Degree in Accounting preferred;
  • Experience in billing or account receivable preferred.
  • Responsibilities :

  • Responsible for involving, collecting, and posting premiums from assigned employer groups and / or members.
  • Research, balance and post any lockbox or direct pay payments and payment kick outs.
  • Process refunds
  • Coordinating with Enrollment Services and Marketing representatives to ensure member eligibility.
  • Obtain funding approvals for self-funded, administrative services only (ASO) group check runs.
  • Provide select self-funded, ASO groups with monthly cash disbursements.
  • NSF collections
  • Pend / Unpend Cobra members when the employer sends verification that COBRA premium have been paid.
  • Maintaining employer group billing files and the accuracy of the accounts receivable system.
  • Responsible for working actiongrams and work flow notifications in Heart.
  • Notify members regularly by letter / phone regarding any payment related issues.
  • Save, balance, and distribute month end reports.
  • Maintain billing copies in the Document Repository.
  • Provide Form 5500 information for employer groups when requested.
  • Prepare Medical certifications for members' housing when requested.
  • Distribute department mail to the correct staff.
  • Invoice reconciliations.
  • Multiple Employer Welfare Arrangements (MEWA) Invoicing
  • LEP reconciliation
  • Responsible for invoicing, collecting and posting for Benefits Administration business.
  • Provide self-funded groups with specialized reports.
  • Monitor self-funded bank accounts to track funding and payments related to self-funded group activity.
  • Gather information and assist with A / R audits.
  • Reconcile self-funded group bank statements
  • Assist A / R Manager with high level tasks including special reporting under strict timelines.
  • Complete various worksheets on a weekly basis as request by Manager.
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