Funding Specialist

A large healthcare client in Fairfax, VA has an immediate need for a Funding Specialist!

The incumbent will be responsible for client fund transfers, email/draft funding notifications, reconciliation of client funding accounts, processing check status/stop payments with bank, and interacting with clients to ensure customer satisfaction.  The Funding Specialist is responsible for performing routine analyses and problem resolution.  The Funding Specialist works closely with the group's finance department to ensure funding instructions are accurate and reports are timely.

1.    50%    Performs routine client funding administration to ensure claims are funded accurately and customer's claims funding needs are being met.  Monitors clients' funding to ensure sufficient funds are available to pay claims.  Verifies automated funding email notifications to requests for funding/check registers for accuracy and makes manual adjustments when applicable. On a daily basis enters monetary adjustments at bank to increase/decrease clients ACH funding requests.  Maintain driver file of specifications for running automated process for report generation of clients funding reports.  Monitor and track each client's out of area pre-funded dollars to established thresholds.  Adapts to changing customer needs and proposes solutions to complex problems that may arise.   Designs and implements new processes and procedures as necessary.  Works closely with claims and customer service on funding issues.  Works closely with reinsurance to ensure claims are properly funded and client is reimbursed accurately and NCAS/CFA fronting is refunded properly.
2.    30%    Reconciles monthly funding accounts and monthly bank reconciliations, researches errors, and compiles necessary documents in order to provide accurate financial information to the clients. Maintains, updates and reconciles funding records to ensure that the bank balances are accurately reflected in the database.  Download receipts from bank, download claims from LuminX system, and upload receipts/claims to Access database to perform reconciliations.  Provides monthly funding/bank reconciliations to all groups with clearly identified descriptions and actions.
3.    10%    Acts as banking liaison for the company to set up and maintain client banking in order to ensure accurate record keeping.  Work with bank to establish client account and client to set up system reports. 
4.    10%    Performs miscellaneous duties as required in order to facilitate the functioning of the department.
SCOPE DATA: Responsible for the TPA funding administration for over 100 clients.

Required:  At least 1-3 years experience in (one or a combination of) Bookkeeping, Claims Auditing or Healthcare Operations.  Proficient in Microsoft Excel/Word/Access.  Associate Degree or equivalent.

Abilities/Skills: Abilities include being customer focused, detail oriented, strong follow-up, time management and problem solving skills are essential. Additionally, position requires demonstrated strong organizational and interpersonal skills. Position also requires analytical skills, strong communication skills, PC spreadsheet skills, organizational skills and the ability to independently apply theories, principles, concepts, and practices to difficult problems and make daily decisions concerning the proper course of action.

Preferred:   Bachelors Degree and LuminX experience.

Equal Opportunity Employer 

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Reference number US_EN_99_027071_473950