Health Plan Finance Operations Specialist

Your Future is our Future

At Lumeriswe believe that our greatest achievements are made possible by the talent and commitment of our team members. Thats why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Primary Responsibilities

• Performs any combination of invoice processing including entering invoices into the system responding to customer inquiries obtaining necessary documentation and approvals reviewing account coding and processing transactions for payment.
• Processes and records account receivable transactions including cash receipts and credit memos.
• Monitors customer accounts for non-payment delayed payments and other irregularities.
• Performs collections activities including contacting customers regarding outstanding balances.
• Maintains vendor information in the system and verifies addresses and Federal ID numbers of vendors.
• Assists in reporting requirements and filings including reviewing and obtaining W-9s for 1099 preparation.
• Creates and distributes monthly reports to clients.
• Prepares multiple monthly reconciliations for clients.
• Prepares deposit of client receipts.
• Validates monthly capitation calculations and works with Accounts Payable to ensure timely payment.
• Assists with new client implementation and software upgrades.
• Handles various Finance functions carried out on the clients behalf.
• Supports all aspects of the claim overpayment functions from letter creation to application of payment and monitoring of voluntary refunds.
• Handles the collections process and works with the collections agency as necessary.
• Supports accounting close by participating in the preparation of various portions of the accounting close including but not limited to various journal entries and account reconciliations related to accounts payableand receivable.
• Works with multi-discipline teams on various special projects as they arise.

Qualifications

• High school diploma GED or equivalent.
• 1 year of relevant accounting/finance experienceincluding accounts payable and accounts receivable.
• Basic knowledge of Generally Accepted Accounting Principles (GAAP) and proficiency in basic accounting processes procedures and controls.
• Good PC skills including Microsoft Office programs and strong Excel skills.
• Experience working with cross-functional departments to research and resolve routine issues.
• Strong attention to detail solid problem-solving and data review skills.
• Ability to meet multiple deadlines prioritize workload and multi-task in a fast-paced environment.
• Good verbal and written communication skills.
• Required to pass a credit check.

Preferred

• Bachelors degree in Accounting or Finance or progress toward earning a degree.

Working Conditions

• While performing the duties of this job the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities duties and skills required. The physical activities demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Factors that may be used to determine your actual pay rate include your specific skills experience qualifications location and comparison to other employees already in this addition to the base salary certain roles may qualify for a performance-based incentive and/or equity with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

Benefits of working at Lumeris

• Medical Vision and Dental Plans

• Tax-Advantage Savings Accounts (FSA & HSA)

• Life Insurance and Disability Insurance

• Paid Time Off (PTO Sick Time Paid Leave Volunteer & Wellness Days)

• Employee Assistance Program

• 401k with company match

• Employee Resource Groups

• Employee Discount Program

• Learning and Development Opportunities

• And much more...

Be part of a team that is changing healthcare!

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities duties and skills required. The physical activities demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.