Medical Accounts Payable Analyst

Job Ref: TE0132
Category: Finance
Department: FINANCE ADMININSTRATION
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $55,000.00 - $64,791.00

Position Overview

The Medical Accounts Payable Analyst directly assists the Manager of Finance Medical Accounts Payable, by performing claim disbursement, premium collection, provider refunds, and analysis functions.

Scope of Role & Responsibilities

• Process payable request.
• Coordinate, track, and follow up as needed on cases and resolution activities to ensure timely resolution.
• Handle all Web and Portal Requests from providers and applicants, ensuring expeditious and appropriate handling/escalation.
• Assist with premium collections and processes of all lines of business. Ensure all EFT, credit card, and internal payments are entered and reconciled.
• Enter and reconcile premium collections in Medibill to ensure enrollees become eligible to achieve and maintain enrollment.
• Utilize multiple systems including PowerStepp, Medibill, JPMorgan, Health Rules Payor, Sales Force and Orbital to compile and analyze member or provider data and resolve issues.
• Assist in identifying recurring financial and operational issues related to medical and capitation payments.
• Maintain production and accuracy requirements of the unit.
• Regularly file and scan documentation
• Distribute and monitor weekly check runs and monthly capitation payments.
• Maintain and track provider and member payments returned to MetroPlusHealth as undeliverable and coordinate resolution with Provider Maintenance, IT, Claims, Enrollment & Membership, and Call Center teams.
• Handle the reprinting of provider Explanation of Benefits as required.
• Assist with premium posting.
• Support the Finance Division, as assigned, during peak activity times and in support of other staff during their time off.
• Responsible for other duties as assigned by Manager of Finance Medical Accounts Payable

Required Education, Training & Professional Experience

• Associate’s degree required and 4 years of relevant administrative, finance, claim payment, or accounting processing experience; or Bachelor’s degree and 2 years of experience or equivalency.
• A satisfactory equivalent combination of training, education, and experience
• Proficiency in Microsoft Excel and Word

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication
• Analytical and problem-solving skills
• Ability to multitask
• Must have ability to work in a team environment