Membership Accounting Analyst

2 days ago

Cebu City, Central Visayas, Philippines Helpware Full time $40,000 - $80,000 per year
Helpware is a technology-driven company with offices in the USA, Ukraine, Mexico, and the Philippines which provide Customer Experience & Operational Support for modern companies. Our team of professionals is driven by the purpose of providing best-in-class value-adding services to our partners by leveraging our empowered teams, innovative solutions, and technologies.
Position Summary:

The Membership Accounting Analyst is responsible for the timely and accurate resolution of discrepancies identified in the Enrollment, Billing and/or Reconciliation processes. The analyst will review documentation, work items in queues and correct errors, identify trends and document resolutions.

Responsibilities:

Enrollment Processing

  • Process queue items, inter-departmental and customer requests timely and accurately.
  • Review incomplete and pending enrollment applications and disenrollment forms for correction and submission to Centers for Medicare & Medicaid Services (CMS)
  • Review and complete Late Enrollment Penalty (LEP) Attestations
  • Review and complete Other Health Insurance (OHI) verification and error correction
  • Review and create retro processing packets to be submitted to the CMS Retro Processing Contractor (RPC)

Billing Processing

  • Identify and post customer payments not automatically applied by the appropriate system
  • Respond to billing-related correspondence
  • Review and investigate returned checks, rejected ACH and credit card transactions
  • Process requests for automated premium payment via credit card or ACH withdrawal
  • Review and approve/deny customer requests for premium refunds in accordance with established policies.
  • Monthly State Pharmaceutical Assistance Programs reconciliation

Reconciliation Processing

  • Researching and correcting errors, discrepancies, and rejected transactions.
  • Monthly review and preparation of the CMS Enrollment Data Validation file and submissions.

All Functions:

  • Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance
  • Conform with and abide by all regulations, policies, work procedures and instructions
  • Meet CMS guidelines and client Service Level Agreement (SLA) requirements through the proper handling of transactions
  • Perform outbound calls to customers or other entities as permitted to complete processing of enrollment, disenrollment, billing and or reconciliation transactions
  • Make appropriate system corrections and escalate transactions that are unable to be corrected
  • Prepare reports as requested by management
  • Perform other duties and responsibilities as required

Requirements

  • High school diploma required; Associates Degree or higher preferred.
  • Minimum 2 years Health Plan Operations experience including; Customer Service, Enrollment, and or Claims processing
  • Excellent analytical, decision-making, problem-solving, team, and time management skills
  • Excellent oral and written communication skills
  • Display positive demeanor, technical accuracy, and conformity to company policies
  • Ensure HIPAA regulations are maintained within the immediate environment
  • Communicate with coworkers, management, staff, customers, and others in a courteous and professional manner
  • Conform with and abide by all regulations, policies, work procedures and instructions
  • Knowledge of customer service best practices and principles.
  • Excellent data entry and typing skills.
  • Superior listening, verbal, and written communication skills
  • Ability to handle stressful situations appropriately, while demonstrating empathy.
  • Resourceful, great at solving unstructured problems with little to no supervision in a fast-paced, high stakes environment.
  • Team Player: Demonstrates a strong ability to contribute to the business along with business unit team members and managers; establish collaborative relationships with peers.
  • Possess strong interpersonal skills and the ability to establish, develop, and maintain business relationships.
  • Excellent written and verbal skills

  • Membership Accounting Analyst

    2 days ago

    Cebu City, Central Visayas, Philippines Helpware Full time $40,000 - $80,000 per year

    Helpware is a technology-driven company with offices in the USA, Ukraine, Mexico, and the Philippines which provide Customer Experience & Operational Support for modern companies. Our team of professionals is driven by the purpose of providing best-in-class value-adding services to our partners by leveraging our empowered teams, innovative solutions, and...

  • Membership Accounting Analyst

    2 days ago

    Cebu City, Central Visayas, Philippines Helpware Full time $40,000 - $60,000 per year

    Helpware is a technology-driven company with offices in the USA, Ukraine, Mexico, and the Philippines which provide Customer Experience & Operational Support for modern companies. Our team of professionals is driven by the purpose of providing best-in-class value-adding services to our partners by leveraging our empowered teams, innovative solutions, and...

  • Responsible Accounting Professional

    5 days ago

    Cebu City, Central Visayas, Philippines beBeeAccounting Full time ₱800,000 - ₱1,200,000

    Job Title: Membership Accounting AnalystWe are seeking a highly skilled and detail-oriented Membership Accounting Analyst to join our team. As a key member of our accounting department, you will be responsible for ensuring the timely and accurate resolution of discrepancies identified in the Enrollment, Billing, and/or Reconciliation processes.Your primary...

  • Analyst, Accounts Payable

    2 days ago

    Cebu City, Central Visayas, Philippines Dover Business Services Europe Full time $40,000 - $60,000 per year

    POSITION TITLE: ANALYST-ACCOUNTS PAYABLE (AP)REPORTING TO: Manager, Accounts PayableTeam Lead, Accounts PayableLOCATION: Cebu, PhilippinesSummary DescriptionDover Business Services (DBS) is looking for talented AP Analysts to join our new shared service center in Cebu, Philippines. Working within an emerging shared services organization, the AP Analyst is...

  • Account Analyst Urgent

    2 days ago

    Cebu City, Central Visayas, Philippines Cebu Oversea Hardware Co., Inc. Full time ₱144,000 - ₱192,000 per year

    ACCOUNT ANALYST UrgentCollege degree in Accounting, Finance, or Business (or related field)With at least 6 months to 1 year of experience in credit, collections, or accounts receivable but not required.Good with numbers and ExcelStrong communication and follow-up skillsDetail-oriented, organized and trainableCan work independently and with a teamFresh...

  • Senior Accounting Analyst

    4 hours ago

    Cebu City, Central Visayas, Philippines Asurion Full time

    Title: Sr Analyst - AR and RevenueLocation: Taguig (Hybrid + day/mid shift)The Senior Accounts Receivable and Revenue Analyst helps ensure the accuracy, integrity and timeliness of AR and Revenue Recognition process in compliance with company policies and procedures. Helps the AR Supervisor in managing the AR Team and helps oversee the daily task of the AR...

  • Reporting Analyst

    2 days ago

    Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full time $104,000 - $130,878 per year

    TASQ is looking to fill an on-site position for a Reporting Analyst / Data Analyst immediately. The pre-screening interview will take place over the phone. About the job Reporting Analyst / Data Analyst (Cebu) Start Date: ASAP Nature Of The Account: Social Media Work Arrangement: Hybrid (1-2x onsite) Site Assignment: Cebu Shift Schedule | Restdays: Midshift...

  • Data Analyst

    2 days ago

    Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full time ₱104,000 - ₱130,878 per year

    TASQ is looking for a reporting analyst/data analyst to work on site in either F. Cabahug St. or Cebu IT Park.The prescreening interview will be done over the phone.About the job Reporting Analyst / Data Analyst (Cebu) Start Date: ASAP Nature Of The Account: Social Media Work Arrangement: Hybrid (1-2x onsite) Site Assignment: Cebu Shift Schedule | Restdays:...

  • Reports Analyst

    2 days ago

    Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full time ₱104,000 - ₱130,878 per year

    TASQ is seeking to fill an on-site position for a Reporting Analyst/Data Analyst immediately. The initial pre-screening interview will be conducted via phone. **Position Overview: Reporting Analyst/Data Analyst (Cebu)** - **Start Date:** As soon as possible- **Work Arrangement:** Hybrid (1-2 days onsite)- **Account Type:** Social Media- **Location:** Cebu...

  • Data Analyst

    2 days ago

    Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full time ₱104,000 - ₱130,878 per year

    Position: Reporting Analyst / Data Analyst (Cebu)Start Date: ASAP Account Type: Social Media Work Setup: Hybrid (1-2 days onsite per week) Location: Cebu Shift: Midshift Educational Requirement: Must be a college graduate Work Experience:2 to 3 years of experience in reporting or data analyticsProficiency in MS Excel, PowerPoint, PowerBI, and PowerAppsStrong...