Johnson Service Group (JSG) is seeking a Medical Insurance Billing Specialist.
This position is fully remote temporary position- 4-6 months.
Must work Pacific Standard Time hours.
Work Schedule: Monday- Friday
Work Hours: 7:00am PST 4:00pm PST (with occasional OT)
Pay rate: $24. per hour
Job Description Summary
This position reports to the Senior Supervisor, Administration Finance and the person must be able to process financial transactions in the company’s processing systems as related to group and individual billing, automated clearing house (ACH) processes and cash receipt processing. Maintain and balance group and individual accounts receivables including delinquency processing and terminations. Manage receipt of group admin fees and process vendor payments. Invoice for third party administrator (TPA) Claims processing and manage receipt and application of claims funding.
Qualifications
BA/BS degree in accounting, finance or business related field plus four years’ experience working in a related 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.
Intermediate knowledge of end-user office software i.e. calendaring, word-processing, spreadsheet and email and the ability to develop a strong proficiency working with a proprietary Health Care system.
Excellent written and oral communication skills, to include modern business communications, formatting of professional letters, reports and phone etiquette.
Customer service oriented.
Ability to analyze and resolve technical problems and/or client inquiries as they arise.
Cross train on Eligibility processing handling that portion of the business as necessary.
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 Security Act (ERISA) regulations.
Knowledge of health insurance industry and standard health care eligibility provisions.
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.)
Duties And Responsibilities
Account Management & Maintenance
Maintain/manage all Claims/ contribution/premium reimbursements, COBRA/Retiree reimbursements, and vendor pass thru payments
Verify and authorize the release of vendor payment within 4 business days of account funding.
Manage the process of funding and releasing self-funded claims payments.
Perform the preparation and completion of schedule “A” and Tax form 5500.
Month End Financials completed and delivered to Accounting by the fifth (5th) business day of the month.
Manage and maintain Bank of America lockbox, and ACH/Wire programs.
Manage and maintain retiree invoicing & receivable management program(s).
Maintain FSA (Flexible Spending Account) program.
Process Management
Process and verify the necessary corrections on manual adjustments posted to group ledger on HealthCare Processing System for client and individual accounts (COBRA).
Verify/authorize refund for terminations and overpayments on all accounts.
Apply cash to appropriate ledgers and research /correct application issues.
Provide back-up resource for invoice generation, daily cash application and other staff financial duties.
Process related written and verbal account inquiries to its conclusion in a timely manner to include research on as needed basis.
Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.
Create and document a minimum of one new Standard Operating Procedure (SOP) annually.
Identify, initiate and implement at least one process improvement and/or innovation annually.
Customer Service
Work with Eligibility Specialists to research/resolve unpaid and/or outstanding balances for employer groups, and COBRA accounts.
JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law . #D800
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