Premium Billing Accountant

5 days ago


Worcester, Massachusetts, United States Fallon Health Full time
About the Role

Fallon Health is seeking a highly skilled Premium Billing Financial Analyst to join our team. As a key member of our Premium Billing department, you will play a critical role in ensuring the accurate and timely processing of premium billing information.

Key Responsibilities
  • Maintain accurate and up-to-date premium billing records, ensuring compliance with DOI, State, and Federal guidelines.
  • Process and reconcile premium payments, including ACH, CC, wire, and returns.
  • Collaborate with the leadership team to ensure completion of monthly and yearly subsidiary accounts receivable and premium billing reports.
  • Work proactively to ensure premium billing records are kept current and accurate, ensuring goals and turnaround standards are met or exceeded.
  • Perform other duties as assigned to meet department performance goals and to respond to changing priorities.
Requirements
  • Bachelor's Degree in Accounting or Business, or equivalent experience.
  • 5+ years of experience in an office environment, preferably in healthcare and/or managed care systems.
  • Strong financial background related to premium billing.
  • Flexibility in a fast-paced environment.
  • Excellent organizational skills/time management.
  • Strong focus on quality & performance results.
  • Systems knowledge including MS Excel, MS Word, MS Access.
  • Ability to effectively communicate, both written and verbal.
  • Excellent telephone manner.
  • Problem-solving capabilities.
About Fallon Health

Fallon Health is a company that cares. We prioritize our members, making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon delivers equitable, high-quality coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality.

Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs, including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly) in the region.



  • Worcester, Massachusetts, United States Fallon Health Full time

    About the RoleFallon Health is seeking a highly skilled and detail-oriented Premium Billing Financial Analyst to join our team. As a key member of our financial operations team, you will be responsible for ensuring the accurate and timely processing of premium billing information.Key ResponsibilitiesMaintain accurate and up-to-date receivable balances and...


  • Worcester, Massachusetts, United States Oak View Group Full time

    Job Title: Premium Suite ServerJob Summary:The Premium Suite Server is responsible for providing exceptional service to guests in the Suites. This role requires a personable and adaptable individual who can work in a fast-paced environment.Key Responsibilities:Assist in the setup of food service areas within specific suites and club areas based on...


  • Worcester, Massachusetts, United States The Guild of St. Agnes Full time

    Job SummaryThe Guild of St. Agnes is seeking a highly skilled Accountant - Cost Reimbursement/Accounts Receivable to join our team. This is a 40hr per week full-time hybrid position that requires a strong background in financial and administrative tasks.Key ResponsibilitiesParticipate in audits and reviews to protect the company's interests and ensure...


  • Worcester, Massachusetts, United States Fords Hometown Services Full time

    Job Title: BookkeeperAbout the Role: We are seeking a detail-oriented and organized Bookkeeper to join our team at Ford's Hometown Services. As a key member of our accounting team, you will play a crucial role in ensuring the financial accuracy and integrity of our company.Key Responsibilities:Financial Management: Utilize QuickBooks Desktop Pro 2022 to...


  • Worcester, Massachusetts, United States Tomra Full time

    Job SummaryWe are seeking a highly skilled and motivated Customer Service Ambassador to join our team at Tomra. As a key member of our Sales and Service Departments, you will be responsible for delivering exceptional customer service to our clients across the New England and Upstate NY Area.Key ResponsibilitiesFacilitate Coordination and Support: Work...


  • Worcester, Massachusetts, United States Berlin Insurance Group Full time

    Job OverviewBerlin Insurance Group is a leading insurance agency that prides itself on delivering exceptional service and innovative insurance solutions. We're committed to fostering a dynamic team and offering excellent benefits.Our Account Management team is responsible for overseeing a diverse portfolio of personal and commercial insurance accounts. As an...


  • Worcester, Massachusetts, United States Insurance Marketing Agencies Full time

    Job Title: Associate Account ManagerWe are seeking a highly motivated and organized professional to join our team as an Associate Account Manager. This role offers an excellent opportunity to gain knowledge and develop skills across all lines of insurance, including Property, Casualty, and Benefits.Key Responsibilities:Manage the day-to-day needs of an...


  • Worcester, Massachusetts, United States Tomra Full time

    Job SummaryWe are seeking a highly skilled and motivated Customer Service Ambassador to join our team at Tomra. As a key member of our Sales and Service Departments, you will be responsible for delivering exceptional customer service to our clients across the New England and Upstate NY Area.Key ResponsibilitiesFacilitate Coordination and Support: Work...


  • Worcester, Massachusetts, United States Bear Mountain Health Care Full time

    Bear Mountain Health Care is seeking a highly skilled Business Office Manager to join our team. This is a full-time position, Monday through Friday, 40 hours a week.Key Responsibilities:Financial Management: Deposit and post cash receipts daily. Maintain accurate financial records for each resident. Ensure all personal and financial information is accurately...


  • Worcester, Massachusetts, United States Sigma Full time

    Job Title: Customer Service RepresentativeWe are seeking a highly skilled Customer Service Representative to join our team at Sigma Systems. As a key member of our Patient Financial Services Billing department, you will be responsible for providing exceptional customer service to patients and their families.Key Responsibilities:Respond to patient inquiries...

  • Pantry Coordinator

    5 days ago


    Worcester, Massachusetts, United States Oak View Group Full time

    Pantry Coordinator Job DescriptionOverview:The Pantry Coordinator will provide administrative support to the Premium Team, ensuring seamless day-to-day operations and maintaining a high level of organization and compliance.Responsibilities:Provide general office/administrative/accounting support to the Premium TeamAssist with office automation and clerical...


  • Worcester, Massachusetts, United States Medical Solutions Full time

    Job OpportunityMedical Solutions is seeking a skilled Ultrasound Technologist for a travel assignment in Worcester, Massachusetts.Specialty: Ultrasound TechnologistDiscipline: Allied Health ProfessionalDuration: 14 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelWe're looking for a talented healthcare professional who can adapt to new...


  • Worcester, Massachusetts, United States Wave Full time

    Job SummaryAverage target compensation $100k plus, with minimum commission guaranteeJob DescriptionThe Business Account Executive is responsible for selling primary and ancillary communications solutions to small and medium-sized businesses within a specified territory. Primary services include coax-delivered Internet, video, and voice. Ancillary services...

  • Pantry Coordinator

    12 hours ago


    Worcester, Massachusetts, United States Oak View Group Full time

    Job Summary:The Pantry Coordinator will provide administrative support to the Premium Team, ensuring seamless day-to-day operations.Key Responsibilities:Provide general office/administrative/accounting supportAssist with office automation/clerical tasks, including copying, faxing, filing, and correspondenceMaintain accurate and compliant filing systemsRelay...


  • Worcester, Massachusetts, United States U Mass Memorial Health Full time

    Job Title: Inpatient Coding ValidatorAt UMass Memorial Health, we are seeking a highly skilled Inpatient Coding Validator to join our team. As an Inpatient Coding Validator, you will play a critical role in ensuring the accuracy and consistency of inpatient coding practices across our organization.Key Responsibilities:Perform focused account and coder...


  • Worcester, Massachusetts, United States U Mass Memorial Health Full time

    Job SummaryWe are seeking a highly skilled Inpatient Coding Validator to join our team at UMass Memorial Health. As a key member of our Coding Services department, you will be responsible for ensuring the accuracy and consistency of medical records and coding data.Key ResponsibilitiesPerform focused account and coder quality reviews on inpatient and...


  • Worcester, Massachusetts, United States Soliant Full time

    Job OpportunityWe are seeking a skilled Speech-Language Pathologist to join our team at an elementary school in Worcester, MA. The ideal candidate will have experience working with K-4 students and be able to provide high-quality speech and language services.ResponsibilitiesProvide speech and language therapy to students with communication disordersMaintain...


  • Worcester, Massachusetts, United States Craft of Boston Full time

    Job SummaryCraft MA is seeking a highly motivated and experienced Beer Merchandiser to join our team. As a Beer Merchandiser, you will be responsible for developing and maintaining strong relationships with our customers, promoting our products, and ensuring that our products are properly merchandised in their assigned accounts.Key ResponsibilitiesDevelop...


  • Worcester, Massachusetts, United States Tomra Full time

    Customer Service Representative Job DescriptionAt Tomra, we're committed to transforming ideas and technology to create intelligent and pioneering tools for a sustainable future. As a Customer Service Representative, you'll play a vital role in delivering exceptional customer service to our clients in the New England and Upstate NY Area.Key...


  • Worcester, Massachusetts, United States Soliant Full time

    Job OpportunityWe are seeking a skilled Speech-Language Pathologist to join our team at an elementary school in Worcester, MA. As a contract SLP, you will work with K-4 students, providing speech and language therapy to those identified with communication disorders.ResponsibilitiesProvide speech and language therapy to students with communication...