Note: The job is a remote job and is open to candidates in USA. SummaCare, part of Summa Health, provides Medicare Advantage, individual and family, and commercial insurance plans. The Reconciliation Analyst is responsible for reconciling memberships and related payments on a monthly, weekly, and daily basis while complying with regulatory requirements and maintaining accurate eligibility data.
Responsibilities
- Responsible for monthly, weekly and daily reconciliation of memberships and resulting payments, in a manner consistent with regulatory requirements
- Maintain current knowledge of and comply with regulatory and company policies & procedures
- Maintain confidentiality of patient and business information
- Flexible: ability to adjust work hours to meet business demands
- Ability to work in a dynamic and changing work environment
- Sit for prolonged periods of time
- Bend, stoop and stretch
- Manual dexterity to operate computer, phone, and standard office machines
Skills
- Associates Degree in a related field or equivalent combination of education and experience
- 3+ years performing same or similar responsibilities. Relevant experience includes: Regulatory and/or accounts receivable responsibilities in a healthcare environment, working knowledge of Amisys and Macess systems, and/or general knowledge of member eligibility functions and data management
- Word at an intermediate level
- Excel at an intermediate level
- Access at a basic level
- Ability to clearly and concisely communicate instructional and operational information verbally and in written form that may include correspondence, reports, instructional materials, system designs; ability to provide instruction and guidance required to supervise day-to-day departmental operations; ability to effectively interface with internal staff, mid-upper management professionals and general public
- Ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions
- Demonstrate high degree of organization and attention to detail
- Work effectively both autonomously and in a team-oriented environment
- Operate standard office machines
- Organize and manage time to accurately complete tasks within designated timeframes in a fast-paced environment
- Maintain current knowledge of and comply with regulatory and company policies & procedures
- Maintain confidentiality of patient and business information
- Flexible: ability to adjust work hours to meet business demands
- Ability to work in a dynamic and changing work environment
- Sit for prolonged periods of time
- Bend, stoop and stretch
- Manual dexterity to operate computer, phone, and standard office machines
Benefits
- Remote Opportunity
- Medical
- Dental
- Vision
- Life
- Paid time off
- Basic Life and Accidental Death & Dismemberment (AD&D)
- Supplemental Life and AD&D
- Dependent Life Insurance
- Short-Term and Long-Term Disability
- Accident Insurance, Hospital Indemnity, and Critical Illness
- Retirement Savings Plan
- Flexible Spending Accounts – Healthcare and Dependent Care
- Employee Assistance Program (EAP)
- Identity Theft Protection
- Pet Insurance
- Education Assistance
- Daily Pay
Company Overview