As a Claims Payment Processor, you will be responsible for managing critical payment and reporting processes that support our healthcare claims operations. Your responsibilities will include:

• Preparing and sending processed claims reports to payers within agreed turnaround times.
• Processing provider payments and Electronic Funds Transfers (EFTs) accurately and on schedule.
• Recording and reconciling financial transactions while ensuring appropriate supporting documentation is maintained.
• Monitoring transactions to ensure accuracy, completeness, and compliance with internal controls and company policies.
• Supporting monthly account reconciliations and journal entry postings.
• Investigating and resolving accounting discrepancies in a timely manner.
• Maintaining organized financial records and providing accurate information when required.
• Building professional relationships through effective communication with internal stakeholders, insurance companies, healthcare providers, and clients.
• Ensuring all accounting deadlines and reporting requirements are met consistently.
• Contributing to a culture of continuous improvement and operational excellence.
• Embrace the Future with AI: Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use. We encourage employees to leverage data-driven insights responsibly while adhering to the highest standards of governance, security, ethics, and information protection.

What you bring 

Qualifications & Experience

• Bachelor's Degree in Finance, Accounting, Business Administration, or a related field.
• Minimum of 2 years of experience in accounting, finance operations, claims payments, or transaction processing.
• Experience within a TPA, insurance environment, healthcare provider, hospital, medical center, or BPO operation will be highly valued.
• Experience using accounting or financial management systems is preferred.
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