Benefits Accounting Specialist

State of Oklahoma; Oklahoma; On-site; USD 52,000 - 56,000; Full time

Benefits offered by this job

Retirement plan with employer contrib.

Paid holidays

Vacation and sick leave

Longevity bonus

Tuition reimbursement

Wellness program

Job summary

The Oklahoma Health Care Authority (OHCA) is seeking a Benefits Accounting Specialist to manage the maintenance, reconciliation, and posting of group and policy holder premium accounts. The role involves reviewing transactions, addressing discrepancies, and advising on actions required for various changes. Location is Oklahoma City.

Typical schedule is Monday–Friday, 8:00 a.m. to 5:00 p.m. The specialist will work in an environment focused on privacy, accuracy, and customer service, with strong

Qualifications

• 2 years of bookkeeping experience or closely related work
• Equivalent combination of education and experience with accounting coursework

Responsibilities

• Post payments within four business days.
• Reconcile accounts within five business days.
• Process inquiries and respond with accurate information.
• Maintain HIPAA confidentiality and privacy of participant data.
• Assist with auditing and adjustments to premiums and benefits.

Skills

Accounting principles

Auditing standards

HIPAA compliance

Customer service

Attention to detail

Education

Bachelor’s degree in accounting

Tools

Microsoft Excel

Microsoft Access

Job description

Benefits Accounting Specialist

Agency

807 HEALTH CARE AUTHORITY

Supervisory Organization

EGID

Full/Part-Time

Full time

Job Type

Regular

Compensation

$25.432692 / hourly

Why You’ll Love Working Here

At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values, Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in-Class, Outcome-Driven, and Servant Leadership, we foster a workplace where people feel supported, respected, and empowered to make an impact. Learn more about OHCA.

Let’s Talk Benefits

• Generous state-paid benefit allowance to offset insurance premiums.
• A wide selection of insurance plans with no pre-existing condition exclusions.
• Flexible Spending Accounts for health care and dependent care.
• Retirement Savings Plan with employer contributions.
• 11 paid holidays annually.
• 15 days of vacation and 15 days of sick leave in the first year.
• Longevity Bonus recognizing years of public service.
• Public Service Loan Forgiveness eligibility and tuition reimbursement.
• Wellness benefits, including an on-site gym and fitness center discounts.

Job Description

Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105

Salary: $25.432692 / hour

Work Schedule: Monday – Friday

Primary Hours: 8:00 a.m. – 5:00 p.m.

Agency/Division Information

The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agency’s core values include passion for purpose, trust and transparency, empowerment and accountability, best in class and outcome-driven, and servant leadership. As part of the interview process, candidates may be required to attend an in-person interview at our Oklahoma City office.

Position Purpose

The Benefits Accounting Specialist responsibilities include specialized accounting and auditing work related to the maintenance and reconciliation of group and policy holder premium accounts to reflect payments received for various types of insurance and benefits. Responsibilities will include reviewing, analyzing, recording and reconciling accounts receivable transactions, posting payments received directly from members and various group employer payrolls, responding to inquiries concerning policies and procedures, and advising insurance coordinators, employees and others concerning actions required on various discrepancies, changes or other transactions.

Principal Activities May Include

• Protect privacy and confidentiality of program participants' information and comply with HIPAA regulations.
• Recognize and deny forms/requests that are considered to be non-compliant and produce response letters that adhere to all EGID rules within the required accuracy ranges.
• Post payments accurately within four business days. Reconcile accounts within five business days.
• Process queries, reports, and special projects accurately and within deadlines, adhering to unit procedures and EGID rules.
• Process refund requests, NSF returns, write-offs, and un-refunds accurately and within specified deadlines, adhering to all unit procedures and EGID rules.
• Process Workflow referrals and daily mail within 5 working days, within the required accuracy ranges.
• Provide timely, accurate, and professional guidance to internal and external customers regarding billing/reconciliation matters and generate the proper correspondence.
• Attend recurring unit/department/division/agency meetings and any mandatory trainings provided by Member Accounts leadership or Human Resources.
• Other duties as assigned.

Knowledge, Skills, Abilities And Competency Requirements

The EGID Benefits Accounting Specialist role requires strong knowledge of generally accepted accounting principles, auditing standards, employee state pension laws, federal COBRA guidelines, and relevant Internal Revenue Code sections. The specialist must possess skills in identifying and resolving discrepancies, accurately processing forms and reports, prioritizing tasks to meet critical deadlines, and maintaining compliance with HIPAA and EGID confidentiality regulations. Effective communication and professional customer service are essential when supporting internal and external stakeholders. These responsibilities align closely with the competencies of Ensures Accountability, by meeting strict accuracy and timeliness standards; Problem Solving, by analyzing account issues and implementing effective resolutions; and Customer Focus, by providing timely, accurate, and professional guidance to customers.

Education And/or Experience

• 2 years of experience in bookkeeping work, insurance eligibility determination or closely related work and 1 year of experience in the maintenance, analysis and reconciliation of insurance or benefits accounts OR
• An equivalent combination of education and experience, substituting the completion of 30 semester hours of college, including 6 hours of accounting for each year of the required 2 years’ experience in bookkeeping work, insurance eligibility determination or closely related work only.

Preference Qualifications Include

• Bachelor’s degree in accounting or related field
• 2 years of experience with Microsoft Excel, Access, or related database experience
• 2 (two) years of experience in bookkeeping work or closely related work experience
• 2 (two) years of experience in the maintenance, analysis and reconciliation of insurance or benefits accounts

Physical Demands and Work Environment

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. In the course of performing job duties, employees are required to speak, stand, walk, and reach with their hands and arms. This position requires extended periods of sitting and daily use of computers and phones. Employees must be willing to complete all job-related travel associated with this position. Being present at the office is an essential function of this position.

Accommodation Statement

The Oklahoma Health Care Authority complies with applicable State and Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335.

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.