Contribution Accounting, Lead

Position Summary

The Contribution Accounting, Lead provides advanced account reconciliation and resolves customer inquiries for assigned Trusts ensuring compliance with associated plans and company guidelines.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities


* Handles customer inquiries via telephone, electronic modes, and in-person for billing questions to stakeholders such as employers, providers, auditors, or client representatives


* Processes COBRA payments, self-pay payments, refund requests, and cash receipts.


* Receives and processes new employer contracts.

Maintains and updates existing contracts.


* Prepares and processes incoming and outgoing contribution reports; reconciles reports to payments.

Researches discrepancies, credits, retro-payments and problems; contacts employers regarding discrepancies.


* Submits deposits, requests stop payments and reconciles batch files, making corrections when needed.


* Performs delinquency and payroll audit processing to include reporting, follow-up, and preparation for entry into computer system.


* Reviews, researches, corrects, and balances month end edit reports.


* Reviews, analyzes, and resolves escalations.


* Conducts research and resolves complex and technical issues and irregularities.


* Conducts new employee training and on-going training for staff.


* Updates source system rates for all funds.


* May assist supervisor or manager by tracking team attendance, overseeing daily workflows, reviewing processes, or participating in special projects.


* Acts as subject matter expert on contribution reporting requirements and assigned funds.


* Performs other duties as assigned.

Minimum Qualifications


* High school diploma or GED.


* Two years of experience processing contributions for a third-party administrator.


* Four years of related work experience such as bookkeeping, finance, banking, or accounting.


* Proficiency with MS Office tools and applications.


* Computer literate with ability to learn new applications and systems.

Preferred Qualifications


* Experience working in a healthcare environment or a third-party benefits administrator.


* Bilingual English/Spanish verbal and written communication skills.


* Proficiency with 10 key calculations.



*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job.

Duties, responsibilities and activities may change at any time with or without notice.

Working Conditions/Physical Effort


* Prolonged periods of sitting at a desk and working on a computer.


* Must be able to lift up to 15 pounds at times.


* May be required to work remotely based on business needs.

Disability Accommodation

Consis...