FUNDING SPECIALIST – REMOTE
Allied Benefit Systems
The Funding Specialist is responsible for preparing and submitting funding request to clients for claims incurred by covered members of the group health plan. In addition, they help to facilitate the payment transactions either in the form of an electronic payment or paper check. These payments are for both provider and vendor payments. Other responsibilities include monitoring and recording financial transactions and approvals from clients, releasing appropriate payments to providers, as well as fulfilling other administrative functions as needed within the department.
ESSENTIAL FUNCTIONS
- Communicate with other Allied departments to resolve claim and funding issues.
- Appeal the denials or reduction of reimbursements by the stop loss carrier.
- Communicate appropriately funding information and requirements to clients
- Assemble weekly or daily funding request information for clients
- Handle releasing payments to providers or taking action on certain payments
- Record bank transactions
- Process claims payments for various vendor fees
- Deposit checks received in the Funding Department
- Other duties as assigned
- EDUCATION
- Bachelor’s degree or equivalent experience preferred
- 1-2 years’ experience in a financial based role
- Intermediate level experience with MS Office Suite (Excel, Word, Outlook, PowerPoint).
- Functional knowledge and prior experience using of MS Excel formulas required.
- MS Access background preferred.
- Prior experience in healthcare preferred.
- Excellent verbal and written communication skills.
- Excellent organizational skills and attention to detail.
- Excellent time management skills with a proven ability to meet deadlines.
- Strong analytical and problem-solving skills.
- Ability to multitask and handle varying assignments.
- Ability to prioritize tasks and to delegate them when appropriate.
- Ability to function well in a high-paced and at times stressful environment.
- Communication
- Customer Focus
- Accountability
- Functional/Technical Job Skills
- This is an office environment requiring extended sitting and computer work.
- Remote
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
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