The Opportunity
The Funding Specialist is responsible for the administration, reconciliation, and processing of customer claims funding activities. This role ensures the accurate calculation and distribution of claim funding, maintains customer account information, performs account reconciliations, and provides exceptional customer support related to funding inquiries. The ideal candidate is detail-oriented, analytical, and capable of working independently in a fast-paced environment.
What you'll do
- Prepare weekly customer claims funding requests.
- Run, review, and reconcile reports from the claims processing platform.
- Calculate weekly funding amounts based on customer-specific funding arrangements.
- Draft and distribute claims funding notification emails to customers.
- Review claims funding transactions to ensure accuracy and compliance with funding requirements.
- Perform daily reconciliations of customer draw accounts and investigate and resolve unreconciled transactions.
- Complete monthly administrative updates for customer draw accounts.
- Respond promptly and professionally to customer inquiries regarding claim funding activities.
- Track and maintain detailed records of customer claims funding by division.
- Identify, process, and monitor check voids and reissues.
- Process returned mail and track outstanding or uncleared checks.
- Maintain accurate and up-to-date customer contact information within source systems.
- Assist with special projects, process improvements, and other claims funding activities as assigned.
Qualifications
What we expect from you
- Associate degree in Finance, Accounting, Business, or a related field.
- Highly proficient in the Microsoft Suite of products, specifically Excel
- Two + years of experience in a funding, billing, accounting, or financial operations role.
- Experience working for a Third-Party Administrator (TPA), health plan, or healthcare-related organization.
- Experience with account reconciliation and transaction research.
- Ability to analyze financial data and identify discrepancies.
- Strong organizational and time management skills.
- Ability to handle confidential information with discretion.
- Customer-focused approach with a commitment to service excellence.
- Ability to collaborate effectively across departments while managing independent responsibilities.
- Continuous improvement mindset with the ability to identify process efficiencies.
We make healthcare EZ!
Additional Opportunity Details:
Target Base Compensation Range for this role is an hourly rate of $22.00-$25.00/hour
*Factors that may be used to determine your actual salary include your job specific skills, education, training, job location, number of years of experience related to this role and comparison to other employees already in this role. *
Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time off, paid leave including parental leave and more.
HealthEZ recognizes its responsibilities under federal, state and local laws requiring non-discriminatory employment practices. All employment decisions, practices and procedures will be carried out without regard to race, color, creed, religion and sex (including pregnancy), sexual orientation, national origin or ancestry, age, marital status, disability, family status, status with regard to public assistance or any other characteristic protected under applicable local, state and federal laws.
HealthEZ is proud to be an equal opportunity employer.
Skills Required
- Associate degree in Finance, Accounting, Business, or a related field
- Highly proficient in Microsoft Suite, specifically Excel
- Two or more years of experience in funding, billing, accounting, or financial operations
- Experience working for a Third-Party Administrator, health plan, or healthcare-related organization
- Experience with account reconciliation and transaction research
- Ability to analyze financial data and identify discrepancies
- Strong organizational and time management skills
- Ability to handle confidential information with discretion
- Customer-focused approach and commitment to service excellence
- Ability to collaborate across departments while managing independent responsibilities
- Continuous improvement mindset and ability to identify process efficiencies
What We Do
We're your healthcare champion. For over 35 years we’ve been simplifying healthcare for our clients, brokers, providers and members. Our knowledgeable and service-oriented team creates and administers custom health benefits solutions that are EZ and affordable.
