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Collection & Reconciliation Analyst
at Amalgamated Life Insurance Company
White Plains, NY

Collection & Reconciliation Analyst
at Amalgamated Life Insurance Company
White Plains, NY

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Description

Job Description

The Collection & Reconciliation Analyst is responsible for conducting complex reconciliation activities related to  payments made in the V3 application. This position is responsible for analyzing, researching and resolving moderate to complex issues and variances arising from the V3 application in regards to  overpayment/underpayment, appeal and/or other adjustments related to providers.  Compare the Work Report returned to the original Work Report generated internally to capture members that were either terminated or added. Reconcile the monies submitted vs. the amount billed and detail the findings.

Review & research a high volume of transactions, identifying causes of discrepancies & recognize resolutions, document issues & report to management

Education and/or Experience

Retrieve both the original Work Report stored in v3 and the returned Work Report stored in Stellent.

dentify the reason for payment difference such as:

  • A)     member terminated

  • B)     member added

  • C)     rate increase

  • D)     incorrect calculation.

  • Analyze and reconcile shortages and overages determining the cause and effect.
  • Complete all tasks & projects assigned with both speed and accuracy
  • Ability to handle changing situations and work within a diverse group
  • Perform ongoing quality assurance functions and ability to recognize interdependencies
  • Complete accurately & efficiently any and all tasks as assigned by the department management

Qualifications:

  • Degree and/or 3+years of relevant health insurance, billing, invoice or reconciliation environment
  • 3-5 years’ work experience in a complex invoice/billing
  • AA or equivalent combination of work experience & education (5+ years)
  • Illustrate strong reconciliation techniques
  • Basic accounting
  • Demonstrate proven analytical and organizational skills
  • Demonstrate strong written & interpersonal communication skills
  • Ability to easily flex between competing priorities in workload or change in deadlines
  • Versed in Vitech, Excel, Word, and Outlook
  • Strong MS Excel, Access and Word capabilities
  • Ability to maintain strict confidentiality and secure approach in handling of data
  • Able to work efficiently independently

 

Company Description

Amalgamated Life Insurance Company

Founded in 1943, Amalgamated Life Insurance Company is now recognized as one of the nation's leading providers of high quality life, health and worksite/voluntary insurance solutions. The Company's high quality claims management and fiscal stability have earned it over 40 consecutive A.M. Best "A" (Excellent) ratings since 1975, as well as six consecutive placements on the "Ward's 50" list of the nation's top performing insurance companies. Headquartered in White Plains, NY, Amalgamated Life is an employee-centered organization with a robust, highly-competitive employee benefits and compensation package. Employees enjoy a pleasant, modern workplace environment, which features state-of-the-art technology, onsite café and fitness facilities. The Company sponsors many nonprofit and charitable endeavors and supports its employees' participation in these worthwhile causes. Amalgamated Life is a member of the Amalgamated Family of Companies.

Benefits

Amalgamated Life takes pride in the competitive and extensive benefit programs that are offered to our full-time employees. Amalgamated Life's benefits package includes: Health and Dental Insurance
Optical Coverage
Disability Coverage: Short-Term ; Long-Term Plans
Life Insurance Coverage
Pension Plan
401(k) Plan
Fidelity Goal Planner After-Tax Savings Plan
Flexible Spending Accounts for Health Care and Dependent Care
Tuition Reimbursement
Fitness Gym Membership Discounts
e-TRAC (New York)
Time off Benefits: Vacation, Sick
Days, Personal Days, Holidays
Opt-Out Reimbursement Program
Employee Referral Award Program

This Employer Participates in E-Verify. See the E-Verify notices. Este Empleador Participaen E-Verify. Ver el E-Verify avisos.

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