Medical Accounts Payable Analyst

MetroPlus; New York (NY); On-site; USD 45,000 - 75,000; Full time

Job summary

An established industry player is seeking a Medical Accounts Payable Analyst to join their finance team. This role involves crucial tasks such as processing claims, managing premium collections, and ensuring the accuracy of financial data. The ideal candidate will have a collaborative spirit and a strong background in finance or accounting. With a commitment to empowering communities, this organization offers a supportive environment where your contributions will directly impact the health and well-being of New Yorkers. If you are detail-oriented and passionate about making a difference, this opportunity is tailored for you.

Qualifications

• 3 years of experience in administrative, finance, or accounting processing.
• Proficiency in Microsoft Word and Excel is essential.

Responsibilities

• Run, validate, and reconcile bulk refunds in Medibill.
• Coordinate and track resolution activities for timely case handling.
• Assist with premium collections and ensure accurate data entry.

Skills

Analytical skills

Problem-solving skills

Written communication

Oral communication

Customer focus

Integrity and trust

Multitasking

Education

Associate’s Degree

Bachelor’s Degree

Tools

Microsoft Word

Microsoft Excel

Medibill

PowerStepp

JPMorgan

Orbital

Job description

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

The Medical Accounts Payable Analyst directly assists the Manager of Finance Medical Accounts Payable, by performing claim disbursement, premium collection, provider refunds, and analysis functions.

Duties & Responsibilities

• Run, validate, and reconcile bulk refunds in Medibill.
• Process and import HRI (ADAP) bulk payment into Medibill.
• Coordinate, track, and follow up as needed on cases and resolution activities to ensure timely resolution.
• Handle all Web and Portal Requests from providers and applicants, ensuring expeditious and appropriate handling/escalation.
• Assist with premium collections and processes of all lines of business. Ensure all EFT, credit card, and internal payments are entered and reconciled.
• Enter and reconcile premium collections in Medibill to ensure enrollees become eligible to achieve and maintain enrollment.
• Utilize multiple systems including PowerStepp, Medibill, JPMorgan, and Orbital to compile and analyze member data and resolve issues.
• Assist in identifying recurring financial and operational issues related to medical and capitation payments.
• Maintain production and accuracy requirements of the unit.
• Regularly file and scan documentation.
• Distribute and monitor weekly check runs and monthly capitation payments.
• Maintain and track provider and member payments returned to MetroPlusHealth as undeliverable and coordinate resolution with Provider Maintenance, IT, Claims, Enrollment & Membership, and Call Center teams.
• Handle the reprinting of provider Explanation of Benefits as required.
• Assist with premium posting.
• Support the Finance Division, as assigned, during peak activity times and in support of other staff during their time off.
• Responsible for other duties as assigned by Manager of Finance Medical Accounts Payable.

Minimum Qualifications

• Associate’s Degree required. Bachelor’s Degree preferred.
• 3 years of relevant administrative, finance, payment, or accounting processing experience; or
• A satisfactory equivalent combination of training, education, and experience.
• Proficiency in Microsoft Word and Excel.

Licensure and/or Certification Required: NONE

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication
• Analytical and problem-solving skills
• Ability to multitask
• Must have ability to work in a team environment