Accountant IV- Medical Expense
Accountant IV- Medical Expense
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1 Vacancy
Job Description
Overview
Now hiring a Accountant IV- Medical Expense
Prepares and assists in preparing claims and medical cost related journal entries and associated account reconciliations. Responsibilities also include processing medical related vendor payments as well as review and execution of medical capitation contracts and related reporting.
How you belong matters here.
We value our employees differences and find strength in the diversity of our team and community.
At Presbyterian its not just what we do that matters. Its how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
- Full Time - Exempt: Yes
- Job is based at Rev Hugh Cooper Admin Center
- Remote work from home: this job is intended to be conducting in the state of New Mexico.
- Work hours: Days
- Benefits: We offer a wide range of benefits including medical wellness program vision dental paid time off retirement and more for FT employees.
Ideal Candidate: Bachelors degree in Accounting or Finance. Sixyears experience in Accounting /Finance or related area
Qualifications
- Bachelors degree in Accounting or Finance
- 6 years experience in Accounting /Finance or related area
- Healthcare experience preferred.
- Experience working in claims systems and/or provider network management preferred.
- Understanding of the life cycle of a claim and the relationship between provider payments and finance.
Responsibilities
- Prepares numerous monthly routine and more complex journal entries and account reconciliations primarily related to medical cost management.
- Review account reconciliations support submitted by others in the department for reconciliations in which the role is responsible for.
- Provides assistance and expertise to Accountants I II and III. (I dont see that other levels exist)
- Process vendor payments and monitor status to ensure timely and accurate payment.
- Prepares medical claims related statutory schedules for quarterly and annual reporting.
- Assists in other compliance reporting to both related parties and external entities as necessary ensuring compliance with requirements accuracy and timeliness of reports.
- Assists in the completion of ad-hoc projects.
- Prepares and responds to audit requests.
- Participates in process improvement initiatives including implementing system automations in conjunction with other departments.
- Understands and uses the G/L system and feeder systems.
- Performs other functions as required including performing and receiving cross training.
- Exhibits strong time management skills due to tight month-end close deadlines and deliverables.
- Other duties as assigned.
Benefits
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision short-term and long-term disability group term life insurance and other optional voluntary benefits.
Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges webinar preventive screening and more.
Why work at Presbyterian
As an organization we are committed to improving the health of our communities. From hosting growers markets to partnering with local communities Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients members and the communities we serve. We are locally owned not-for-profit healthcare system of nine hospitals a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees - including more than 1600 providers and nearly 4700 nurses.
Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to
Compensation Disclaimer
Employment Type
Full-Time
