Purpose: The Accounting Specialist assists the Director of Finance in the areas of eligibility, enrollment, accounts payable/receivable, payroll, and other duties as appropriate.
Responsibilities:
Accounting Specialist will perform the following within the time frames indicated below
- Accounts receivable and payable under the direction of the Director of Finance
- Sending monthly invoices to IPA and NCHIIN Customers
- Following up on any unpaid balances due at least monthly
- Posting payments received in Sage at least weekly
- Maintain timely processing of Accounts Payable
- Review open accounts payable invoices for payment and submitting for signature and approval.
- Processing Payroll biweekly and managing the following:
- Payroll tax-related liabilities
- Workers’ compensation and other payroll-related liabilities, including but not limited to health plan premiums and retirement contributions
- Wage allocation to appropriate projects and departments
- Bank Reconciliation, including:
- Daily reconciling all electronic deposits and deductions daily for the IPA General Account
- Record monthly TCD interest accruals.
- Reconcile all bank, money market, and TCD accounts monthly with a special focus on claim account checks
- Processing Blue Shield Reimbursable payments and follow up on unreimbursed claims at least once monthly
- Process payments from stop loss; posting in Business Works and sending payments to appropriate health plan
- Priority Care Center Claims and Accounts receivables:
- Submit Claims weekly in eCW
- Work closely with PCC clinic manager /other staff person and customer service representative to follow up on outstanding PCC claims.
- Post PCC payments daily (web payments, ERA, insurance and patient’s payments) in eCW.
- Monthly reconciliation of PCC HMO capitation-compare list to eCW and update as necessary
- Receive calls from patients with questions regarding their statement, balance, etc.
- Run eCW accounts receivable reports and work accounts at least monthly.
Other Projects and Duties – As Assigned
QualificationsQualifications:
- Bookkeeping experience
- Medical office or related experience.
- Basic knowledge of CPT, HCPCS and ICD9 coding.
- Excellent communication and customer service skills.
- Excellent computer skills.
- Knowledge of Sage 50 preferred
Characteristics:
- Well organized, detail oriented and efficient.
- Demonstrates effective communication skills with all types of customers and vendors.
- Ability to work with multiple projects and prioritize appropriately to meet deadlines.
- Follows detailed instructions and works with minimal supervision.
- Ability to work well both with others and independently.
Skills Required
- Bookkeeping experience
- Medical office or related experience
- Basic knowledge of CPT, HCPCS and ICD9 coding
- Excellent communication and customer service skills
- Excellent computer skills
- Knowledge of Sage 50
What We Do
The Humboldt-Del Norte Independent Practice Association is a healthcare organization that provides leadership by collaborating with health plans and providers to enhance public health and access to quality care. It serves as a third-party administrator for healthcare services and health plans, manages HMO and PPO memberships, and operates the Priority Care Center to provide intensive care coordination for patients with complex medical needs.
