Healthfirst AR Analyst in New York, New York

Description

The Accounts Receivable Analyst (ARA) responds to member inquiries through our business process and customer relationship management systems. The ARA performs all account analysis and loads all payment information into the Healthfirst Managed Healthcare System (MHS). The ARA evaluates active member status to ensure payments are received and processed into the individual member account ensuring all accounts are current. The Accounts Receivable Analyst also performs any necessary adjustments.

  • Process all lockbox files into Managed Healthcare Systems (MHS). Ensure all member payments are accurately processed to the appropriate account using the matching criteria and online decision-Perform account analysis to ensure member balances are accurate and account balance is updated

  • Process rejected payments, refunds for members identified with overpayments, payments received in-house, and daily payment rejections within SLA standards

  • Complete the return item process which includes creating outreach letters for members

  • Process payment batches within SLA standards

  • Additional duties as assigned

Minimum Qualifications:

  • High School Diploma or GED from an accredited institution

  • Prior account analysis work experience

  • Experience working with multiple Excel spreadsheets which include filtering and updating information on a daily basis

  • Ability to enter data with speed and accuracy -

  • Experience with any business process and customer relationship management systems (i.e. Macess, etc.) where you have reviewed member account information and documented changes

PreferredQualifications:

  • Associates Degree or higher from an accredited institution

  • Experience with Microsoft Access as a database management system

  • Experience with data mining, report analysis or reconciliation experience within a healthcare billing or commercial insurance environment

  • Programming experience

  • Experience with Macess as a business process and customer relationship management systems

  • Familiarity with PHSP (Medicaid/Child Health Plus) products

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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 careers@Healthfirst.org or calling 212-519-1798 . In 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 Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

REQNUMBER: R002862