Claim Reporting and Special Services AnalystPrimary Location: Phoenix, AZ
Additional Locations: AZ-Phoenix Apply
65156Fundamental Components: This position will be part of the Check Run team. This will include but not limited to processing weekly fee for service and monthly capitation check runs timely to ensure prompt provider payments for several health plans. This position will also consist of completing positive pay for all check runs and verifying transmission to banks. Uses system produced data to prepare management level reports. Uses system output to monitor and/or reconcile specific line of business accounts and customer bank accounts. Monitors, reviews, researches, reconciles and balances designated Aetna system activity. Reviews and analyzes system reports and other information to develop financial information for use in reporting. Analyzes and recommends solutions to non-standard requests and requirements from plan sponsors and areas within and outside the area. Analyzes and verifies system results to ensure accuracy, accountability and financial data integrity. Possesses working knowledge of functions of other units in department. Responds to and resolves customer inquiries and complaints (internal as well as external) both verbal and written correspondence within established unit objectives.
- 1-3 years accounts payable/accounts receivable/payment processing experience preferred.
- Knowledge of medical claim payment processing or account reconciliation is helpful.
- Experience working as part of a team to meet established deadlines and resolve issues is required.
- Attention to details and accuracy are essential skills.
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