Job Information
US Tech Solutions Accounting Assistant in Columbia, South Carolina
Job Description:
Eligible Hours: Mon-Fri 7:30am-4:00pm or 8:00am-4:30pm Contract to Perm Interview with hiring Manager only (Prefer Teams for interview) Onsite Position Local Candidates strong analytical skill sets, ability to successfully multi-task between tasks to meet established deadlines, organizational skills.
They need strong communication skills because they will be working with internal departments as well as our external customer base to include our accounts, brokers, consultants, stop loss vendors, etc. Also, the ability to adjust to changes with ease and take initiative when handling assigned tasks.
Responsibilities:
Responsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally, the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.
Prepare and file 50% and 100% stop loss claim packets. Run queries, compile eligibility data and submit claim packet. Audit stop loss positions by running queries and comparing to the accumulated claims in the billing system. Research variances, document discrepancies and make appropriate adjustments. 15% Respond to audit letters. Work with other areas including claims, marketing and managed care to obtain requested information. Track claims packet filing and MGU responses. Log all submissions, audit letters receipts and responses in the tracking database/log.
Provide manual monitoring of special stop loss scenarios including carved out pharmacy. Ensure the member's stop loss positions are properly tracked and updated. Perform complex reviews of claims data in situations where the stop loss system does not accurately accumulate stop loss positions. Create custom reports and spreadsheets based on customer inquiries.
Experience:
- 3 years in accounting, auditing, billing, claims, membership, or finance. Preferred Work Experience: Experience within a self-funded insurance programs
Skills:
- Ability to compile information, perform research and analyze data. Strong customer service and organizational skills. Excellent verbal and written communication skills. Ability to take initiative and meet deadlines. Attention to detail. Required Software and Other Tools: Microsoft Office including Access Preferred Software and Other Tools: Experience with AMMS claims processing system, experience with PFAB claims billing system, DB2 experience. Work Environment: Typical office environment
Education:
Bachelor's Degree in Business, Finance, or other related field. or 4 years of stop loss and/or claims billing experience may be substituted for a Bachelor's Degree
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity,
national origin, disability, or status as a protected veteran.