Top 248 Reconciliation specialist Jobs in Jamaica Ny

Reconciliation Specialist (Onsite 3 Days/Week)
VNS Health —Manhattan, NY
- $66,300 - $72,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Continuing education credits
- Paid holidays
12d
Reconciliation Specialist - Deposit Operations
Valley National Bank —Clifton, NJ
- $20.53 - $34.23 an hour
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Posting Reconciliation Specialist
Charlie Health Behavioral Health Operations —Levittown, NY
- $45,000 - $52,500 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Health insurance
Quick Apply
Senior Accounts Receivable & Reconciliation Specialist
Epicured, Inc. —Glen Cove, NY
- $80,000 - $90,000 a year
- Oracle
- CPA
- HIPAA
- Dental insurance
- 401(k)
Quick Apply
Database Specialist
Big Brothers Big Sisters of New York City Inc —New York, NY
- $28 - $32 an hour
- Part-time
- Mid-level
- Organizational skills
- Associate's degree
Quick Apply
PERMANENCY SUPPORT SPECIALIST
SCO Family of Services —Jamaica, NY
- $27.47 an hour
- Full-time
- Hybrid work
- Microsoft Word
- HIPAA
- Office
Quick Apply
5d
Electronic Funds Transfer Specialist
United Nations Federal Credit Union —Long Island City, NY
- $55,130 - $62,000 a year
- Full-time
- Hybrid work
- Mid-level
- Associate's degree
Accounts Receivable Specialist II (Remote)
FreedomCare —New Rochelle, NY
- $45,000 - $65,000 a year
- Remote
- Research
- Mid-level
- Finance
- Health insurance
- Retirement plan
Quick Apply
Formulation Specialist
Mfused —Farmingdale, NY
- From $25 an hour
- Full-time
- Laboratory experience
- Mid-level
- Office
Medicaid Billing – Revenue Cycle Specialist
Goodwill NYNJ —Brooklyn, NY
- $40 - $48 an hour
- Part-time
- Customer service
- Research
- Mid-level
Quick Apply
11d
Accounts Receivable Specialist
Vigliotti Landscape Service Center —Westbury, NY
- $25 an hour
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Accounts Payable Specialist- Real Estate
NYC Real Estate Developer —New York, NY
- From $67,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
12d
Donor Database Specialist
Greenwich United Way —Greenwich, CT
- $35 - $40 an hour
- Part-time
- Microsoft Word
- Research
- Mid-level
Quick Apply
Collections & Credit Specialist
Platsky Company —Westbury, NY
- $30 - $38 an hour
- Full-time
- Microsoft Excel
- Research
- Mid-level
- Profit sharing
- Paid training
Quick Apply
10d
Accounts Payable Specialist
Bellwether Staffing Solutions —Purchase, NY
- $30 - $36 an hour
- Full-time
- Mid-level
- Office
- Finance
Quick Apply
8d
Shipping & Receiving Specialist (Fine Jewelry)
Jewelry Office —Great Neck, NY
- $24 - $28 an hour
- Full-time
- Background check
- Mid-level
- Ability to lift 50 pounds
- Paid time off
Quick Apply
Accounts Payable Specialist
HumanEdge —New Rochelle, NY
- $29.50 an hour
- Contract
- Mid-level
- Office
- High school diploma or GED
Quick Apply
9d
Accounts Payable Specialist
Gotham Ready Mix —Jamaica, NY
- $30 - $32 an hour
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- 401(k)
Quick Apply
Accounts Payable Specialist
PJS Group —New Rochelle, NY
- $60,000 - $65,000 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- AD&D insurance
- Disability insurance
Cash Reconcilliation Specialist
AZ Metro Distributors LLC —Woodbury, NY
- $55,000 - $58,000 a year
- Full-time
- Background check
- Microsoft Excel
- Mid-level
- Wellness program
- Health insurance
Quick Apply

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Reconciliation Specialist (Onsite 3 Days/Week)

VNS Health -
Manhattan, NY

Apply Now

Job Details

Full-time
$66,300 - $72,000 a year
12 days ago

Benefits

Continuing education credits
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance
Referral program

Qualifications

Medicare
Health insurance policy knowledge
Medicaid
Productivity software
Business operations
Data analysis software

Full Job Description

Provides analytical support to VNS Health Plans Membership and Eligibility Department in order to ensure internal controls of enrollment, disenrollment, and billing processes for all VNS Health Plans product lines. Reconciles monthly membership and oversees the Third Party Administrator's (TPA) processing methods of enrollment application receipts and membership and revenue reconciliation. Works under general supervision.

What We Provide

Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program and opportunity for both pre- and post-tax contributions
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth, career advancement and CEU credits

What You Will Do

Reviews and analyzes all membership transactions, including enrollment, disenrollment and cancellations for VNS Health Plans Products through various Governmental Agency produced reports (e.g. Center for Medicaid and Medicaid Services (CMS), Department of Health (DOH), Local Department of Social Services (LDSS)/Human Resources Administration (HRA), Maximus), reports prepared by Third Party Administrator (TPA) and various VNS Health Plans department staff.
Conducts ongoing meetings with TPA, LDSS/HRA, Maximus or VNS Health Plans staff to review results and discuss important membership topics.
Prepares reports for review by management staff indicating a summary of membership activities and status of plan membership.
Monitors processing of membership activities in order to confirm compliance with CMS and DOH guidance.
Reviews Membership Files to validate adherence to processing timeframes and documentation in the appropriate membership systems (Facets, Salesforce, Pre-enrollment browser, Mainframe) to ensure timeliness of applicant and member correspondences.
Designs performance indicator reports based on analyses of compliance findings.
Makes recommendations to change workflows and Policies & Procedures to improve performance as needed. Implements changes upon approval.
Acts as liaison between VNS Health Plans staff, LDSS/HRA and Maximus to confirm that enrollment applications and disenrollment requests receive final determination.
Ensures timeliness of enrollment and disenrollment processing, adherence to established policies & procedures and DOH guidance. Apprises appropriate staff of procedural changes.
Works closely with TPA,LDSS/HRA and Maximus to resolve pending enrollment application issues, disenrollment issues and member maintenance/eligibility issues (i.e. Medicaid status, state and county code discrepancies, Medicare status and changes, etc.). Follows up with departmental staff or members for any required information or documentation in an effort to avoid unnecessary or inappropriate denials.
Takes lead in fostering good working relations with Maximus, LDSS/HRA and TPA staff.
Performs reconciliation analysis of member eligibility data transfers between TPA and various third party vendors on a daily, weekly or monthly basis to ensure vendor systems are updated accordingly. Works with all parties to address and resolve discrepancies to reduce financial and compliance risks to the plan.
Monitors Medicare Part D Reconciliation activities related to Prescription Drug Event data and Plan to Plan Reconciliation.
Conducts monthly analyses of VNS Health Plans enrollment and disenrollment outcomes and prepares various census and membership reports.
Reviews and analyzes CMS Monthly Membership Reports that disclose membership and payment amounts.
Works closely with TPA in reviewing CMS payments to plan and researches payment discrepancies. Validates that appropriate payments are received and follows up on any retroactive adjustments. Responsible for alerting MEU and Finance Leadership Teams of any potential problems regarding revenue expectations.
Prepares various Accounts Receivable reports and reviews Attestation Summary Reports from TPA. Conducts comparative analyses.
Oversees monthly premium bill process for Medicare product. Reviews billing reports and transactions posted to the general ledger. Applies payments to appropriate accounts and directs TPA in write off processing. Ensures accuracy and compliance for all billing processes.
Continuously evaluates membership systems (Facets, Pre-enrollment browser, Salesforce) and makes recommendations for improvements.
Conducts ongoing internal audits with TPA to monitor timeframes are met with membership submissions to CMS and member correspondence mailings. Performance results are tracked on various internal reports and the Online Monitoring Tool (OMT).
Oversees all external audits (e.g. CMS, Enrollment Data Validation, PDE data, etc.). Provides support as needed to complete throughout the audit process.
Assists with development and production of membership communications/materials.
Acts as a resource to Reconciliation Analyst for assistance and guidance. Provides analytical support to MEU management staff.
Participates in special projects and performs other duties as assigned.

Qualifications

Education:

Bachelor's Degree in Finance, Accounting, Business Administration, Health Administration or related discipline or equivalent work experience required
Master's Degree in Business Administration or Health Administration preferred

Work Experience:

Minimum five years experience working in a Health Care environment (three years experience for candidates with a Master’s Degree).
Demonstrated knowledge of operations, with a working knowledge of Medicare and Medicaid.
Has a keen attention for detail and a very good understanding of an effective and efficient reconciliation system.
Advanced proficiency with Excel and Word software applications required
Effective oral, written and interpersonal communication skills required

Pay Range

USD $66,300.00 - USD $72,000.00 /Yr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Apply Now

Refine Your Search

reconciliation specialist jobs in jamaica ny

Reconciliation Specialist (Onsite 3 Days/Week)

Reconciliation Specialist - Deposit Operations

Posting Reconciliation Specialist

Senior Accounts Receivable & Reconciliation Specialist

Database Specialist

PERMANENCY SUPPORT SPECIALIST

Electronic Funds Transfer Specialist

Accounts Receivable Specialist II (Remote)

Formulation Specialist

Medicaid Billing – Revenue Cycle Specialist

Accounts Receivable Specialist

Accounts Payable Specialist- Real Estate

Donor Database Specialist

Collections & Credit Specialist

Accounts Payable Specialist

Shipping & Receiving Specialist (Fine Jewelry)

Accounts Payable Specialist

Accounts Payable Specialist

Accounts Payable Specialist

Cash Reconcilliation Specialist

I want to receive the latest job alert for reconciliation specialist in jamaica ny

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