Senior Payment Analyst

  • location: Irvine, CA
  • type: Contract
  • salary: $30 per hour
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job description

Senior Payment Analyst

job summary:
Senior Payment Analyst

Responsibilities

  • Oversees and manages the production schedules for pharmacy payment batches, tracer activity, projects and reporting. These activities are performed by onshore and offshore team members.
  • Perform account reconciliations and analyses
  • Assists on external and internal audits
  • Generate standard and ad hoc reports as required
  • Develop innovative approaches for continued improvement in efficiency and effectiveness.
  • Assist with complex reconciliations that involve Billing and Payment data. In addition, perform, analyze and report on findings of the reconciliation
  • Assist with running and analyzing reports from claims data warehouse, RxC online reporting tools, MS Access & Excel
  • Partner with other departments, including Retail Network Ops, Provider Relations, Claims Operations and IT for payment batch/checks monitoring, payment tracer questions and other ad hoc processes
  • Reviews weekly RXACH schedules and payment files
  • Performs network audit payment hold activities
  • Assists in creating yearly payment schedules
  • Performs key SOX controls for pharmacy payment accuracy, completeness and cutoff
  • Performs weekly unclaimed and abandoned property activities
  • Prepares reporting for client performance guarantees and CMS/state regulators for prompt pay compliance
  • Provides payment backup support for COGS/Claim Payable and billing / revenue Blackline recons
  • Other related duties as assigned
Requirements

  • Minimum of 3-5 years of professional experience in business management, finance, accounting, or related function
  • Bachelor degree in business administration/management, accounting, finance, or related function
  • The ideal candidate would have healthcare background
  • Data mining/query, analytics, MS office experience is a plus and/or willingness to learn is desired
  • Proficiency with Excel is required, Advanced skills a plus
  • Strong verbal and written communication skills as the position requires interfacing with other departments and clients
  • Strong analytical skills; detail oriented, as well as ability to see 'big picture'
  • Ability to work and contribute in a team environment, as well as work independently
  • Takes initiative and accountability for work product and able to meet deadlines
  • Serves as a key resource on complex and/or critical issues
  • Solves complex problems on own; proactively identifies new solutions to problems
  • Plans, prioritize, organize and complete work to meet established objectives
 
location: Irvine, California
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 3 Years
 
responsibilities:
Responsibilities

  • Oversees and manages the production schedules for pharmacy payment batches, tracer activity, projects and reporting. These activities are performed by onshore and offshore team members.
  • Perform account reconciliations and analyses
  • Assists on external and internal audits
  • Generate standard and ad hoc reports as required
  • Develop innovative approaches for continued improvement in efficiency and effectiveness.
  • Assist with complex reconciliations that involve Billing and Payment data. In addition, perform, analyze and report on findings of the reconciliation
  • Assist with running and analyzing reports from claims data warehouse, RxC online reporting tools, MS Access & Excel
  • Partner with other departments, including Retail Network Ops, Provider Relations, Claims Operations and IT for payment batch/checks monitoring, payment tracer questions and other ad hoc processes
  • Reviews weekly RXACH schedules and payment files
  • Performs network audit payment hold activities
  • Assists in creating yearly payment schedules
  • Performs key SOX controls for pharmacy payment accuracy, completeness and cutoff
  • Performs weekly unclaimed and abandoned property activities
  • Prepares reporting for client performance guarantees and CMS/state regulators for prompt pay compliance
  • Provides payment backup support for COGS/Claim Payable and billing / revenue Blackline recons
  • Other related duties as assigned
 
qualifications:
Requirements

  • Minimum of 3-5 years of professional experience in business management, finance, accounting, or related function
  • Bachelor degree in business administration/management, accounting, finance, or related function
  • The ideal candidate would have healthcare background
  • Data mining/query, analytics, MS office experience is a plus and/or willingness to learn is desired
  • Proficiency with Excel is required, Advanced skills a plus
  • Strong verbal and written communication skills as the position requires interfacing with other departments and clients
  • Strong analytical skills; detail oriented, as well as ability to see 'big picture'
  • Ability to work and contribute in a team environment, as well as work independently
  • Takes initiative and accountability for work product and able to meet deadlines
  • Serves as a key resource on complex and/or critical issues
  • Solves complex problems on own; proactively identifies new solutions to problems
  • Plans, prioritize, organize and complete work to meet established objectives
 
skills: Payment Schedule/Cash Management/Aging
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

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