About The Role The Contribution Processor provides account reconciliation and resolves customer inquiries for assigned Trusts ensuring compliance with associated plans and company guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
Key Duties and Responsibilities
Handles customer inquiries via telephone, electronic modes, and in-person for billing questions to stakeholders such as employers, providers, auditors, or client representatives.
Processes COBRA payments, self-pay payments, refund requests, and cash receipts.
Receives and processes new employer contracts. Maintains and updates existing contracts.
Prepares and processes incoming and outgoing contribution reports; reconciles reports to payments. Researches discrepancies, credits, retro-payments and problems; contacts employers regarding discrepancies.
Submits deposits, requests stop payments, and reconciles batch files making corrections when needed.
Performs delinquency and payroll audit processing to include reporting, follow-up, and preparation for entry into computer system.
Reviews, researches, corrects, and balances month end reports.
Performs other duties as assigned.
Essential Qualifications
High school diploma or GED.
Six months of related work experience such as third-party administrator processing, bookkeeping, finance, banking, or accounting.
Proficiency with MS Office and Excel tools and applications.
Computer literate with ability to learn new applications and systems.
Preferred Qualifications
Experience working in a healthcare environment or a third-party benefits administrator.
