Premium Reconciliation Specialist - Chatsworth, CA
3 days ago
Job description
Position: Premium Reconciliation Specialist
Working under general supervision, the Premium Reconciliation Specialist is responsible for multi-part
billings/invoices, accounts receivable and accounts payable functions as a result of the monthly premium
reconciliation process between the organization, client and health insurance carrier. The primary focus of the
position is the timely and accurate reconciliation of complex accounts and the generation of monthly financial
reports. This position performs detailed analysis of reconciliation variances and takes appropriate action to
resolve them.
Responsibilities:
- Performs accurate, timely reconciliations of substantial billings/invoices between the organization, client
and the health insurance carrier
Set-up of monthly monetary wiring instructions and verified receiving account status
Researches and analyzes financial variances as a result of premium reconciliation process and takes
appropriate corrective action
Standardizes and documents most efficient reconciliation processes
Maintains accurate and organized paper and electronic files with supporting documents
Ensures data integrity by maintaining appropriate controls for audit verification
Monitors, ages in the monthly premium reconciliation process for financial reporting
Keeps updated with the latest methodologies, procedures, and client-specific information
Coordinates premium reconciliation on a monthly basis to meet contractual or other specified deadlines
Interfaces with internal staff to resolve system issues affecting premium reconciliation process and time
table
- Other duties as assigned or requested
Qualifications:
- Minimum 5 years experience with financial reconciliations in an analytical role. Preferably, prior
experience in financial analysis and in a health or commercial insurance environment
Attention to detail, producing accurate and high-quality work
Ability to multi-task, meet deadlines and be able to thrive in a fast-paced, high demand work environment
Strong written, verbal, and presentation communication skills
Must be able to manipulate and create Excel spreadsheets; including standardizing reports, utilizing
filtering and formulas to generate desired results
Intermediate to advanced level Microsoft Excel 2007 skills
Experience analyzing premium records and remittance payments received
Ability to provide analysis support for premium adjustments to financial statements as needed
Ability to comply with operating policies, procedures and rules is essential
Must be able to use discretion and handle sensitive/confidential information
Must be able to maintain regular and predictable attendance; the ability to work overtime as required
Must maintain positive and cooperative communications and collaboration with all levels of employees,
clients and customers
1
Rev
Similar jobs
Position: Reconciliation Specialist · The Benefit Service Center, Inc. is a Third Party Administrator (TPA), celebrating its · 20th year anniversary in Chatsworth. We are seeking for an experience Reconciliation · Specialist to join our team. The successful candidate must have a ...
3 days ago
We are seeking an experienced CAM Accountant to support our portfolio during a medical leave coverage through the end of January, · with a strong possibility of extension.This is a hybrid role based in El Segundo, · with remote work on Fridays only.The ideal candidate will bring ...
1 month ago
+We are seeking an experienced CAM Accountant to support our portfolio during a medical leave coverage through the end of January, with a strong possibility of extension. · +Bachelor's Degree in Accounting or a related field · 3+ years of accounting experience; CAM accounting exp ...
1 month ago
Dolphin Debit is hiring Network Cash Reconciliation Specialists to join our team in Spring, TX. The role involves tracking ATM cash activity from initial order through final unload. · This is an analytical role that requires attention to detail and problem-solving skills. · ...
6 days ago
Operations Manager · The Benefit Service Center, Inc. is a third party health benefits administrator, · celebrating its 20th year anniversary, and is located in Chatsworth, California. We are · seeking a person with extensive experience as a supervisor in the benefit administra ...
3 days ago
Position: Lead Benefits Specialist · Description: Provides supervision and global direction for all Benefit Specialist positions. Also · provides specific direction and support for all assigned Benefit Specialists and Clients. This · position is a direct report to and back-up to ...
3 days ago
An established foreign food manufacturer has expanded its business to the United States and is currently looking for a Warehouse Supervisor to join our team. This person will report to the Supply Chain Manager. This position will be responsible for managing the warehouse team to ...
1 month ago
The Accounting Generalist is responsible for assigned accounting tasks and responsibilities for the corporation and student club accounting. · Bachelor's degree from a 4 year college or university in accounting, business administration or a closely related field. · OR Equivalent ...
1 month ago
The Accounting Specialist II works on grant accounting functions including bookkeeping, analysis, reporting, invoicing and compliance with Federal, State and LA County requirements. · Duties include managing a portfolio of awarded grants tracking due dates progress financial stat ...
2 weeks ago
The Accounting Specialist I works primarily out of Strength United's Newhall location with frequent trips to Strength United's San Fernando Valley locations required.The candidate will manage and monitor a portfolio of awarded grants, · prepare and submit invoices, · track due da ...
2 weeks ago
The Accounting Specialist II works primarily out of Strength United's Newhall location with frequent trips to Strength United's San Fernando Valley locations required. · Manage and monitor a portfolio of awarded grantsCoordinate the gathering of data to prepare and submit require ...
1 week ago
The Accounting Specialist I works primarily out of Strength United's Newhall location with frequent trips to Strength United's San Fernando Valley locations required. Manage and monitor a portfolio of awarded grants, prepare and submit invoices, tracking due dates, progress, and ...
1 week ago
We are looking for a detail-oriented Account Payable Specialist to control and monitor our expenses. · You will be processing payments, · verifying invoices, · and performing account reconciliations. · ...
1 month ago
We are seeking a detail-oriented and energetic Bookkeeper to join our dynamic finance team. · ResponsibilitiesManage and perform bookkeeping duties using QuickBooks to ensure accurate recording of all financial transactions. · Process payroll accurately and timely, including tax ...
1 week ago
About Advanced Pain Medical Group · Advanced Pain Medical Group is a leading medical practice specializing in comprehensive pain management across ambulatory surgical centers (ASCs) and outpatient clinics. We deliver patient-centered care using advanced interventional techniques ...
3 days ago
Prism Healthcare · Make a meaningful impact while building your career in ABA Billing. · About Us · Prism Healthcare is a dedicated behavioral health agency supporting children with social, communication, and behavioral challenges. We partner with families to make meaningful pro ...
50 minutes ago
This is a hands-on role combining operational execution, process improvement, and cross-functional collaboration to ensure smooth and efficient operations. · ...
5 days ago
We are seeking a detail-oriented and organized Accounts Receivable Specialist to join our accounting team. · ...
1 month ago
We are seeking a skilled Paycom Payroll Specialist to oversee payroll operations and support HR compliance functions. · ...
3 weeks ago
We are seeking an experienced Assistant Controller / Payroll Specialist to manage core accounting operations, financial reporting, and payroll processing in a fast-moving, multi-entity environment. · ...
1 month ago