Billing Reconciliation Specialist -

Location: Pleasanton
Posted on: November 9, 2024

Job Description:

Software Requirements: Microsoft Excel - Advanced level including ability to build spreadsheets and merge data

Microsoft Word - Intermediate to Advanced level

Microsoft Outlook - Intermediate to Advanced level

Knowledge of personal computers and related software including database software

Accounting Experience: Knowledge of accounting, payroll, benefit programs, invoice payment procedures, and audit principles.

Business Skills: Possess highly-developed mathematical and analytical skills, proven ability to meet deadlines, maintain high level of accuracy while working with detailed information, strong verbal and written communication skills, team player, strong problem solving skills, and highly-developed client/customer service skills.

Educational Experience: College degree with emphasis in accounting, and/or 3 years experience with employee health insurance or 3 years analytical/reconciliation experience (such as A/P).

Salary Range: Depending on experience

Duties and Responsibilities:

1) Perform reconciliation accounting functions, matching on a monthly basis the individual elections against payroll contribution records and vendor/carrier invoices.

2) Verify that cash management has received appropriate and matching funds for each client and each transaction period.

3) Verify and post cash transaction details that include funds received and disbursed to spreadsheets and databases for each client.

4) Audit carrier/vendor invoices against individual enrollments and payroll registers; and then research and communicate documented discrepancies.

5) Communicate discrepancy issues to the appropriate person, whether it is internal or external (i.e. carrier rep, client rep, client employee, flex department, insurance department, etc).

6) Investigate and reconcile problems that vendors/carriers or clients have with discrepancies and/or obtaining payment for bills.

7) Record all special payments, refunds, and any other disbursement of funds (i.e. back premiums, employee refunds, waivers, etc) on an individual policy and client level onto the reconciliations spreadsheet or database.

8) Immediately report and reconcile all discrepancies between money received for an individual where there is no policy or issue from the insurance carrier.

9) Document all conversations and file appropriately to leave audit trail.

10) Prepare a check request based on the reconciled bill compared to the payroll data.

11) Perform the customer service function in cases of insurance billing issues and employee deduction issues.

12) Perform other duties as assigned.

We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

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