Aetna Claim Finance Accounting Specialist in Phoenix, Arizona
Req ID: 41551BR
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
The Claim Finance Accounting Specialist assists in performing various department functions including facilitating, analyzing and reconciling weekly/monthly claim payment check runs, processing Third Party Liability referrals and collections for multiple health plans and system testing for upgrades and new health plan implementations. This position assists in the research, correction and creation of yearly 1099 and BNotice documents.
This position offers the opportunity to work with many different departments to support daily health plan activities and assist in the implementation of new health plans.
Hours for this role are Monday-Friday with a flexible start time between 6AM and 8AM, after training and working 8 hours per day. Overtime could be possible occasionally.
This role is in office only! (Phoenix, Arizona)
This position uses established department procedures to complete all check run related processes, system testing and third party liability processes accurately and timely. This position ensures that all compliance and audit requirements are met in daily processes. This position assists customers by handling requests for information, researching issues and completing special projects timely, accurately and professionally. This position assists in the updating of policies and procedures to streamline processes and assist in training. This position cross-trains on all department processes to add to the stability of the department.This role will be involved in assuring correct payments are made to providersThis role will run reports and work closely with the claims department
1-3 years accounts payable/accounts receivable or check run processing is required, 2 years experience is highly preferred.Experience in medical billing from a physicians office or hospital would be a plus!Third party liability recovery and/or system testing experience preferred. Knowledge of claim payment processing or account reconciliation is helpful. Experience working as part of a team to meet established deadlines and resolve issues is required. Attention to details and accuracy are essential skills.Steady and strong work history is needed, experience that shows growth is desired.Knowledge of Microsoft office products is needed.Ability to be flexible and learn is important.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
Functional - Claims/Payment management/1-3 Years
Functional - Administration / Operations/File Maintenance/1-3 Years
Functional - Administration / Operations/Document production & distribution/1-3 Years
Functional - Finance/Accounts receivable/1-3 Years
Functional - Finance/Treasury services - bank reconciliations/1-3 Years
General Business/Turning Data into Information/FOUNDATION
Leadership/Collaborating for Results/FOUNDATION
Leadership/Driving a Culture of Compliance/ADVANCED
General Business/Communicating for Impact/FOUNDATION
Service/Working Across Boundaries/FOUNDATION
ADDITIONAL JOB INFORMATION
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Claim