Premium Billing Financial Analyst
5 days ago
Fallon 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 Responsibilities- Maintain accurate and up-to-date receivable balances and perform daily, weekly, and monthly reconciliations to ensure compliance with DOI, CMS, and EOHHS regulations.
- Coordinate the production of premium bill runs with outside vendors and ensure timely and accurate processing of bill runs, collections, adjustments, and reconciliations.
- Review and verify accounts for refunds and adjustments, ensuring accuracy and compliance with established policies and procedures.
- Post payment files received from state and federal entities to member accounts and perform reconciliation of accounts receivable accounts to ensure accuracy and integrity of premiums billed.
- Enter and maintain premium rates in the core system and ensure proper rating categories are reflected.
- Work proactively to ensure premium billing records are kept current and accurate, and goals and turnaround standards are met or exceeded.
- 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, with excellent organizational skills, time management, and problem-solving capabilities.
- Ability to effectively communicate, both written and verbal, with excellent telephone manner and ability to build relationships and contribute to team performance.
Fallon Health is a company that cares. We prioritize our members' needs and strive to be the leading provider of government-sponsored health insurance programs in the region. Learn more about our mission, vision, and values at www.fallonhealth.org.
-
Premium Billing Accountant
5 days ago
Worcester, Massachusetts, United States Fallon Health Full timeAbout the RoleFallon 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 ResponsibilitiesMaintain accurate and up-to-date premium billing records, ensuring...
-
Senior Financial Analyst
5 days ago
Worcester, Massachusetts, United States The Hanover Insurance Group Full timeJob Title: Senior Financial AnalystThe Hanover Insurance Group is seeking a highly skilled Senior Financial Analyst to join our team in Worcester, MA. As a key member of our Finance team, you will be responsible for developing accurate projections for property catastrophe events and providing financial analysis to support business decisions.Key...
-
Senior Financial Analyst
4 days ago
Worcester, Massachusetts, United States The Hanover Insurance Group Full timeJob Title: Senior Financial AnalystThe Hanover Insurance Group is seeking a highly skilled Senior Financial Analyst to join our team in Worcester, MA. As a key member of our Finance team, you will be responsible for developing accurate projections for property catastrophe events and providing financial analysis to support business decisions.Key...
-
Premium Suite Server
3 days ago
Worcester, Massachusetts, United States Oak View Group Full timeJob 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...
-
Pre-Billing and Claims Associate
3 weeks ago
Worcester, Massachusetts, United States UMass Memorial Health Care Full timeJob SummaryWe are seeking a highly skilled Pre-Billing and Claims Associate to join our team at UMass Memorial Health Care. As a key member of our revenue cycle team, you will be responsible for prioritizing and processing pre-billing and claims submission processes, ensuring accurate and timely submission to payers.Key ResponsibilitiesPrioritize and process...
-
Financial Analyst
4 weeks ago
Worcester, Massachusetts, United States Partnership Employment Full timeJob SummaryWe are seeking a highly skilled Grant Accountant to join our team at Partnership Employment. The successful candidate will be responsible for providing professional accounting services, with a focus on enhancing financial policies, procedures, and internal controls while improving customer service to both internal and external stakeholders.Key...
-
Senior Financial Analyst
2 weeks ago
Worcester, Massachusetts, United States Beacon Hill Full timeSenior Accountant Job DescriptionWe are seeking a highly skilled Senior Accountant to join our team at Beacon Hill. As a key member of our accounting department, you will play a critical role in providing professional accounting and tax services, enhancing policies, procedures, and internal controls, and improving customer service for both the community and...
-
Senior Financial Analyst
5 days ago
Worcester, Massachusetts, United States Partnership Employment Full timeSenior Accountant Job DescriptionLocation: WorcesterReports to: Director of AccountingJob Type: Full-time, On-site/HybridJob SummaryWe are seeking a highly skilled and detail-oriented Senior Accountant to join our Finance team. The Senior Accountant will play a key role in maintaining accurate financial records and ensuring the smooth operation of accounting...
-
Medical Economics Data Analyst
3 weeks ago
Worcester, Massachusetts, United States Fallon Health Full timeAbout UsFallon Health is a company that prioritizes its members' needs, providing equitable and high-quality care. With a strong commitment to diversity and inclusion, we strive to be the leading provider of government-sponsored health insurance programs in the region.Job SummaryWe are seeking a Medical Economics Data/Financial Analyst to partner with our...
-
Controller - Financial Services
4 days ago
Worcester, Massachusetts, United States Resource Recruiting of MA Full timeJob Title: ControllerWe are seeking a highly skilled and experienced Controller to join our team at Resource Recruiting of MA.Job Summary:The Controller will be responsible for directing the accounting operations of the company, including establishing and maintaining accounting principles, practices, procedures, and initiatives. This role will oversee all...
-
Financial Services Controller
5 days ago
Worcester, Massachusetts, United States Resource Recruiting of MA Full timeController Job DescriptionResource Recruiting of MA is seeking a highly skilled Controller to join our team. As a key member of our finance department, you will be responsible for directing the accounting operations of our company.Key Responsibilities:Oversee all aspects of financial reporting, including month-end and year-end close processes.Perform complex...
-
Medical Economics Data Analyst
2 weeks ago
Worcester, Massachusetts, United States Fallon Health Full timeAbout Fallon HealthFallon Health is a company that prioritizes its members' needs, ensuring they receive the care they deserve. With a strong commitment to equity, quality, and coordination, we strive to be the leading provider of government-sponsored health insurance programs in the region.Job SummaryThe Medical Economics Data Analyst will collaborate with...
-
Senior Business Analyst
1 day ago
Worcester, Massachusetts, United States The Hanover Insurance Group Full timeJob Summary:The Hanover Insurance Group is seeking a Senior Business Analyst to join our Commercial Lines Operations department. This is a full-time, exempt role based in Worcester, MA, with a hybrid/flex work arrangement.Key Responsibilities:As a Senior Business Analyst, you will be responsible for collecting, developing, analyzing, documenting, and...
-
Corporate Strategy Analyst Intern
2 weeks ago
Worcester, Massachusetts, United States The Hanover Insurance Group Full timeSummer Internship OpportunityThe Hanover Insurance Group is seeking highly skilled college students for our Summer Internship Program, which provides meaningful opportunities for personal and professional growth, as well as rewarding career path options.About the RoleThe Corporate Strategy team is responsible for developing and advancing strategies to...
-
Senior PeopleSoft Functional Analyst
21 hours ago
Worcester, Massachusetts, United States UMass Med School Full timeJob SummaryThe Senior PeopleSoft Functional Analyst will be responsible for managing the analysis, design, and implementation of various academic applications. This role will involve interpreting the requirements of various academic and business offices and translating these requirements into user stories or functional technical specifications for the...
-
Senior PeopleSoft Functional Analyst
4 days ago
Worcester, Massachusetts, United States UMass Med School Full timeJob SummaryWe are seeking a highly skilled Senior PeopleSoft Functional Analyst to join our team at UMass Med School. The successful candidate will be responsible for managing the analysis, design, and implementation of various academic applications.Key ResponsibilitiesAnalyze business processes and gather requirements to design effective solutions within...
-
Business Office Manager
7 hours ago
Worcester, Massachusetts, United States Bear Mountain Health Care Full timeBear 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...
-
Accountant - Cost Reimbursement Specialist
3 weeks ago
Worcester, Massachusetts, United States The Guild of St. Agnes Full timeJob 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...
-
Insurance Auditor
4 weeks ago
Worcester, Massachusetts, United States Armstrong Receivable Management Full timeJob OverviewArmstrong Receivable Management is seeking a skilled Premium Auditor to join our team. As a Premium Auditor, you will be responsible for examining the financial records of insurance companies to ensure compliance with laws and regulations. Your primary responsibilities will include conducting audits, identifying potential fraud, and ensuring that...
-
Accounting Specialist
4 days ago
Worcester, Massachusetts, United States Fords Hometown Services Full timeJob 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...