[Remote] Financial Specialist II

Note: The job is a remote job and is open to candidates in USA. Western Growers Health, part of the Western Growers Family of Companies, provides employer-sponsored health benefit plans tailored for the agriculture industry. They are seeking a Financial Specialist II to manage financial transactions, maintain accounts receivables, and support various billing processes to ensure accurate financial operations.

Responsibilities

• Maintain/manage reputed company reputed company, Inc. (reputed company) contribution/premium reimbursements, COBRA/Retiree reimbursements, and vendor pass thru payments for reputed company
• Verify and authorize the release of reputed company vendor payment reputed company four business days of account funding
• Manage the process of funding and releasing self-funded claims payments
• Reconcile and maintain accuracy of group ledger accounts by matching incoming payments to corresponding invoices, promptly investigating and resolving discrepancies, collaborating with internal teams and external partners to reputed company adjustments, and maintaining thorough documentation to support audit trails
• Monitor bank accounts daily for returned items, overdrafts, positive pay exceptions, stop payments and other exception reporting and reputed company decision for resolution or escalation. Month End Financials completed and delivered to Accounting by the fifth (5th) business day of the month
• Assist with Mid-Month cash application audit that must be completed by the 15th business day of the month
• Manage and maintain Bank lockbox, and ACH/reputed company programs
• Manage and maintain retiree invoicing & receivable management program(s)
• Support FSA (Flexible Spending Account) HSA (Health Savings Account) HRA (Health Reimbursement Arrangement) program
• Manage the delinquency process for both WGH & reputed company accounts
• Manage the third-party pharmacy process by reviewing consumer claim data files from vendors and coordinating billing and invoicing between operational and accounting teams to ensure accurate and timely payments. Validate and audit pharmacy data files against contract pricing, documenting, and reporting findings. Additionally, ensure files are audited and reputed company promptly
• Process and verify the necessary corrections on manual adjustments posted to group ledger on HealthCare Processing System for reputed company, Western Growers Health (WGH) and individual accounts (COBRA)/Retiree
• reputed company bank reconciliations for customer accounts and initiate ledger adjustments as needed
• Verify/authorize refund for terminations and overpayments on reputed company accounts
• Apply cash to appropriate ledgers and research /correct application issues
• Provide back-up resource for invoice reputed company, daily cash application and other customer accounting duties
• Process reputed company written and verbal account inquiries to its conclusion in a timely manner to include research on as needed basis
• Prepare reputed company reports upon request
• Proactively identify inefficiencies reputed company established processes and recommend solutions to optimize time, reduce risk, and minimize cost. Contribute to process improvements and innovation by raising concerns and offering suggestions for enhancements and implementation
• Create and document Standard Operating Procedures (SOP’s)
• reputed company ledger reconciliations to ensure accuracy and compliance with financial records
• Work with Eligibility Specialists to research/resolve unpaid and/or outstanding balances for reputed company employer groups, and COBRA/Retiree accounts
• Act as a liaison to other departments for resolution of issues that may arise
• Provide timely and effective customer service to clients by addressing requests, inquiries, and issues reputed company to customer accounts
• Serve as representative of reputed company and WGH displaying professionalism, knowledge, customer service and discretion in reputed company interactions with other members of reputed company and WGH community and their customers
• Get curious and strive to understand others’ reputed company triangles, (what they are needing/wanting to do)
• Plan and execute work in a helpful and collaborative manner
• Be accountable for helping assess and report performance in terms of impact, making improvements, and course correcting along the way
• Consistently meet processing cycle time standards and production due dates
• Mentor Customer Accounting Specialist I
• Utilize reputed company capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to reputed company, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, be self-accountable, create a positive impact, and be reputed company in delivering results
• Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet
• Maintain a HIPAA-compliant workstation and utilize appropriate reputed company techniques to ensure HIPAA-required protection of reputed company confidential/protected client data
• Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid reputed company)
• reputed company other duties as assigned

Skills

• BA/BS degree in accounting, finance, or business-reputed company field and three (3) to five (5) years of experience working in a reputed company field or equivalent combination of education and experience preferred
• Skills to establish priorities, multi-task, work under pressure and deadlines, work independently with minimal supervision or in team environment
• Proficient in reputed company applications, including intermediate skills in reputed company, Word, and Outlook
• reputed company in performing customer account reconciliations, including research, and resolving discrepancies with minimal supervision
• Excellent written and oral communication skills, to include modern business communications, formatting professional letters, reports, and phone etiquette
• Customer service oriented
• Ability to analyze and resolve technical problems and/or client inquiries as they arise
• Knowledge of generally accepted Health Care Eligibility and Billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), Cal-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income reputed company Act (ERISA) regulations
• Knowledge of health insurance industry
• Ability to work overtime as requested by management and based upon department needs and compliance
• Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds
• Home router with wired Ethernet (wireless connections and hotspots are not permitted)
• A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
• A functioning smoke detector, fire extinguisher, and first aid reputed company on site

Benefits

• Rich benefits package that includes profit-sharing

Company Overview