Senior Financial Analyst
New
T
Trillium Health ResourcesHealthcare Finance
Remote in North CarolinaFull-TimeSenior
Salary$67,524 - $83,101
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Job Details
- Experience
- 6 years (High School), 4 years (Associate), or 2 years (Bachelor)
- Required Skills
- Microsoft DynamicsFinancial analysis
Requirements
- High School Diploma/GED with 6 years of experience, or Associate's degree with 4 years, or Bachelor's degree with 2 years of relevant experience in Accounting, Finance, or Business.
- Experience analyzing financial data, preparing financial reports, preparing journal entries, and performing account reconciliations.
- Must reside within North Carolina.
- Must have a valid driver's license.
- Ability to travel within the organization's catchment area as required.
- Proficiency in Microsoft Dynamics 365 or similar financial systems is preferred.
- Experience with healthcare claims payment processing, provider payment operations, and financial reconciliations is preferred.
- Bachelor's degree in Accounting, Finance, or Business is preferred.
- CPA license or active pursuit of certification is preferred.
Responsibilities
- Review and analyze weekly provider check write activity for accuracy and completeness.
- Monitor and reconcile claims payments, credit memos, recoupments, hardships, levies, and payment adjustments.
- Research and resolve claims payment discrepancies and out-of-balance conditions.
- Perform financial analysis of claims payment trends and provider payment activity.
- Prepare and present claims payment summaries and financial reports to leadership.
- Validate payment files, EFT transactions, remittance advice (RA), and 835 files prior to distribution.
- Collaborate with Claims, IT, and operational teams to test and implement system enhancements.
- Develop and maintain reporting tools, dashboards, and reconciliations supporting claims payment operations.
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