Humboldt Senior Resource Center · 1 week ago
Finance II - Claims Processor (52335)
HSRC Eureka Main BLDG - Eureka, CA 95501
Full-time
Onsite
Entry Level
$21.17/hr - $23.13/hr
2+ years expHumboldt Senior Resource Center is looking for a full-time accounting and administrative professional. The Finance Specialist II – Claims Processor is responsible for performing a wide range of claims processing and financial support functions for the Redwood Coast PACE program, ensuring timely and accurate processing of claims and providing support to the Finance Department.
Non ProfitSocialSocial Assistance
Responsibilities
Ensures invoices, claims, and payments are processed within department, program, and contractual requirements
Receives claims and uploads them daily to the Third-Party Administrator (TPA) for payment
Tracks claims in PACE Care Online (PCO) and monitors progress to ensure all claims are paid within 30 days of receipt
Reviews payment batches on a weekly basis to ensure each claim has been assigned the proper general ledger account and submits corrections to the Third-Party Administrator (TPA), as needed
Submits the weekly payment batches to PACE Director and/or designee for approval, retrieves approved payment batch, and submits to the Director of Finance
Serves as the point of contact for providers and internal staff on status of claims payments, questions, inquiries, and appeals. Monitors the claims e-mail account and voicemail, responding promptly
Monitors the claims that have been suspended and works with the Third-Party Administrator (TPA) and Senior Financial Analyst to resolve documentation deficiencies such as obtaining letters of agreement and W-9s
Reconciles Agency Amazon account to the monthly payment amounts, ensuring the proper general ledger account has been assigned to each purchase, works with departments to resolve any discrepancies
Assists accounts payable with verifying participants and GL coding on PACE invoices
Scans accounts payable check stubs and invoices into Laserfiche weekly
Orders supplies and runs errands as needed for Finance team
Work collaboratively with other team members and participate as an active member of the Finance team when appropriate
Performs other general office duties including filing, copying, scanning, and preparing correspondence
Contributes to a positive work environment by participating in solutions to problems as they occur
Demonstrates behaviors consistent with agency values: Respect, Patient, Courteous, Tolerant, Friendly, and Teamwork
Additional duties may be assigned, as needed, that align with the responsibilities of the position and support the vision, mission, and values of the organization
Qualification
Required
Two (2) years of office administration, accounting, or finance experience
High School Diploma or GED equivalent, required
Proficient in using computerized accounting systems, databases, and standard office software (including Microsoft Office and Laserfiche) to accurately enter, retrieve, and maintain financial and claims data
Ability to use various client-orientated software programs to bill for client services
Make accurate arithmetic and financial computations
Ability to work independently, organize and prioritize tasks, manage time effectively, and meet deadlines with minimal supervision while maintaining accuracy and accountability
Strong verbal and written communication abilities; able to convey information clearly and professionally to staff, vendors, providers, and other external partners
Builds positive relationships with diverse populations, including staff, providers, and community stakeholders
Works effectively as part of a multidisciplinary team demonstrating sound listening skills to receive directions and understand expectations; maintains a cooperative and supportive attitude
Applies good judgement, resourcefulness, and flexibility to resolve issues and adapt to changing circumstances
Maintains confidentiality, reliability, and ethical standards; consistently demonstrates punctuality, attendance, and responsibility in work performance
Maintains participant privacy and organizational confidentiality, adhering to HIPAA and agency standards
Remains calm and effective when priorities shift, deadlines change, and unexpected issues arise
Ability to be dependable, accept supervision, follow direction, and improve performance through feedback
Ability to accurately establish, maintain, and research files to ensure organized, complete, and accessible records
Preferred
Additional education is preferred
COVID-19 and Influenza (flu) vaccinations preferred
This position requires the successful completion of a background check
Company
Humboldt Senior Resource Center
Humboldt Senior Resource Center is a non-profit organization that offers activities programs such as recreation, classes, and socialization.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase