Funding Specialist

4 weeks ago

Westborough, Massachusetts, United States Health Plans Inc Full time
Job Summary

We are seeking a highly skilled Funding Specialist to join our team at Health Plans Inc. As a key member of our team, you will be responsible for coordinating daily account activity for employer groups who self-fund their health, dental and short-term disability benefit programs.

Key Responsibilities:

  • Communicate with clients regarding funding requirements based on approved expenses of the plan.
  • Coordinate and schedule payments to providers and other payees on behalf of client.
  • Communicate with claim examiners, account managers and various other departments according to client needs.
  • Compile and audit various monthly activity reports.
  • Maintain and reconcile client cash account used to pay plan expenses.
  • Work with Finance staff to ensure client account maintains a positive balance.
  • Work with Reinsurance staff to ensure provider payments are funded and paid according to stop loss contract guidelines.
  • Perform other various duties deemed necessary to provide client administrative services.

Requirements:

  • High School Diploma or equivalent.
  • Two or more years' related experience.
  • Communicates effectively, both verbally and in writing.
  • Ability to work both independently and as a team member.
  • Ability to multi task efficiently and accurately.
  • Must be detailed, analytical and accurate.
  • Recognize the need for follow-thru and follow-up.
  • Ability to work within specified timeframe and meet deadlines.
  • Recognize and maintain confidentiality of work materials as appropriate.
  • Proficient in Microsoft Office, including Word, Excel, Outlook and PowerPoint.

Why Choose Us?

  • We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life.
  • We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you.
  • We're a people-first company and value giving back to our community.

Benefits:

  • Medical, Dental and Vision Coverage.
  • Prescription Drug Coverage.
  • Fitness Reimbursement Benefit.
  • Tobacco Cessation Program.
  • Employee Assistance Program.
  • Flexible Spending Account & Health Savings Account.
  • 401(k) and Profit-Sharing Plan.
  • Quarterly Bonuses.
  • Generous Paid-Time Off.
  • Volunteer Days.
  • Education Assistance & Professional Development Opportunities.

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