Accts Rec Claims Analyst, Assoc (Hybrid Remote)

Purpose:
The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, claims utilization billing, and employer group reimbursements are completed accurately and timely. They will work to maintain existing clients, onboard new clients, and assist in identifying and resolving issues in a proactive and timely manner. They will frequently engage with Product Management, and Sales & Account Management in maintaining our service levels to our external employer group customers that have our HRA, FSA, ASO & Stop Loss product offerings.

This position allows a flexible hybrid work schedule.  A minimum of two days per week are required in the office.

Responsibilities:

• Maintain an understanding of all industry-wide HRA, FSA, ASO & Stop Loss product offerings
• Perform client payment processes including direct debiting, while working with the Accounting Department to ensure that client payments are being received and reconciled appropriately
• Perform weekly HRA, FSA & ASO claims utilization billing, while ensuring stop loss billing arrangements are functioning as intended
• Reconcile weekly HRA, FSA & ASO claims from our claims system and other data sources, to our reporting & billing system, for external employer group clients to ensure that all relevant claims are set to be billed appropriately
• Interface with internal and external customers via a dedicated email service account, to assure resolution of inquiries and concerns. Monitor and ensure that client receivables are maintained within contracted terms
• Assist project teams and workgroups to benefit improvements & process changes for HRA, FSA, ASO & Stop Loss products. Assist in internal/external audits that pertain to HRA, FSA, ASO & Stop Loss products
• Support the provider EFT update process including phone outreach to providers to confirm bank information.