Accts Rec Claims Analyst, Assoc (Hybrid Remote)
UPMC
**Purpose:**
The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, claims utilization billing, and employer group reimbursements are completed accurately and timely. They will work to maintain existing clients, onboard new clients, and assist in identifying and resolving issues in a proactive and timely manner. They will frequently engage with Product Management, and Sales & Account Management in maintaining our service levels to our external employer group customers that have our HRA, FSA, ASO & Stop Loss product offerings.
This position allows a flexible hybrid work schedule. A minimum of two days per week are required in the office.
**Responsibilities:**
+ Maintain an understanding of all industry-wide HRA, FSA, ASO & Stop Loss product offerings
+ Perform client payment processes including direct debiting, while working with the Accounting Department to ensure that client payments are being received and reconciled appropriately
+ Perform weekly HRA, FSA & ASO claims utilization billing, while ensuring stop loss billing arrangements are functioning as intended
+ Reconcile weekly HRA, FSA & ASO claims from our claims system and other data sources, to our reporting & billing system, for external employer group clients to ensure that all relevant claims are set to be billed appropriately
+ Interface with internal and external customers via a dedicated email service account, to assure resolution of inquiries and concerns. Monitor and ensure that client receivables are maintained within contracted terms
+ Assist project teams and workgroups to benefit improvements & process changes for HRA, FSA, ASO & Stop Loss products. Assist in internal/external audits that pertain to HRA, FSA, ASO & Stop Loss products
+ Support the provider EFT update process including phone outreach to providers to confirm bank information.
+ Minimum of a High School diploma or GED
+ Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred
+ Minimum of 1 year of healthcare, insurance, or other financial experience required
+ Demonstrate professionalism, enthusiasm and initiative daily, as well as the ability to handle multiple tasks
+ Excellent communication and organization skills with the ability to represent the department on workgroups and/or projects
+ Microsoft office with emphasis on spreadsheet application required, and claims processing system experience is preferred **Licensure, Certifications, and Clearances:**
+ Act 34
**UPMC is an Equal Opportunity Employer/Disability/Veteran**
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