Financial Operations Specialist

3 weeks ago


Buffalo, New York, United States Centivo Full time
{"title": "Financial Operations Role at Centivo", "description": "Financial Operations Role at Centivo

We are seeking a highly skilled Financial Operations professional to join our Finance & Administration team at Centivo. As a key member of our team, you will play a critical role in ensuring the smooth operation of our financial processes, including invoice and expense reporting, check runs, and other operational needs.

Key Responsibilities:
  • Initiate ACH payments and account transfers in JPMC online banking
  • Monitor client bank accounts using balance tracking spreadsheets, weekly check registers, and JPMC transaction reports
  • Log and scan all provider refund checks received in office, and send tasks to the claims department for refunds to be processed in the claims system
  • Monitor ACH refunds received from Zelis, and send corresponding reports to the claims department for refunds to be processed in the claims system
  • Issue check payments in the claims system. Collect checks and mail to various vendors
  • Manage pharmacy claim invoices received from various vendors
  • Release payments and EOBs to providers in the Zelis payment portals
  • Monitor claims in PAY queue and investigate any that have been stuck in PAY longer than 7 days
Requirements:
  • 2+ years of experience in a similar role
  • High school diploma or GED required, Associate's or Bachelor's degree preferred
  • Experience working with highly automated and integrated claim adjudication system required, El Dorado-Javelina preferred
  • Intermediate Microsoft Excel experience (pivot tables, VLOOKUP)
  • Familiarity with other Microsoft programs including Word, Teams, Outlook
  • Ability to prioritize and organize own work to meet deadlines
  • Strong customer service skills and attention to detail
  • Strong communication skills, working in a fast-paced environment
  • Strong interpersonal skills, establishing rapport and working well with others
Location:

This role is based in our Buffalo, NY office.

Pay Transparency:

The ranges we place in our job postings reflect what we anticipate to be the minimum to maximum of the base salary for this role. Additionally, our overall benefits package includes a few things you may consider towards a total compensation such as bonus, health benefits (some employer paid), PTO, and equity option grants.

Salary Range:

$45,000-$54,000 USD

Our Values:
  • Resilient - This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don't give up.
  • Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.
  • Positive - We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive.
Who We Are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit

"}

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