This is a Hybrid-NY role located at 100 Church Street requiring three days per week in the office (Tues/Wed/Thurs).
Scope of Responsibilities:
Create service forms for returned checks and vendor refunds in PEGA.
Process Medical Home Member Refund FQHC and other ad-hoc transactions in Workday.
Responsible for voiding and reissuing checks upon request abandoned property issues provider refunds and returned checks.
Perform stop payment requests to be handled by the Treasury department to send to the bank.
Data entry of check information for returned checks and vendor refunds as received.
Oversee and create monthly reporting on issued payments and ensure that payment detail files are generated & available for payees.
Perform reconciliation and analysis of all (claims capitation vendor payments and etc) payments.
Creation of monthly reports of data related to payments for all lines of business.
Special projects as determined by management.
Minimum Qualifications:
High School Diploma or GED from an accredited institution.
Experience with accounting functions within a health insurance payer platform.
Ability to analyze financial information & reports.
Experience with computers including knowledge of Microsoft Word Outlook and Excel required.
Preferred Qualifications:
Associates degree from an accredited institution.
Experience with SAS or SQL reporting (i.e. running queries).
Experience with Workday.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race color creed religion sex national origin sexual orientation pregnancy age disability genetic information domestic violence victim status gender and/or gender identity or expression military status veteran status citizenship or immigration status height and weight familial status marital status or unemployment status as well as any other legally protected basis. HF Management Services LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment please contact us by sending an email to or your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services LLC.
All hiring and recruitment at Healthfirst is transacted with a valid @ email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @ or not one of our recruitment partners please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Hiring Range*:
Greater New York City Area (NY NJ CT residents): $58900 - $80070
All Other Locations (within approved locations): $51000 - $74880
As a candidate for this position your salary and related elements of compensation will be contingent upon your work experience education licenses and certifications and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary Healthfirst offers employees a full range of benefits such as medical dental and vision coverage incentive and recognition programs life insurance and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire or for a job promotion or transfer into this role.
Required Experience:
IC