Accounting Specialist II - Financial Compliance

Date: Aug 25, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 5170 

 

Position Summary/Position

 

Under the direction of the Reconciliation and Reporting Supervisor, the Accounting Specialist II - Financial Compliance will support various processes of a broad and varied nature related to one or more of the following functional areas: administration, reconciliation, posting journal entries and research of unreconciled claim payments.

Major Functions (Duties and Responsibilities)

 

1. Assist with the reconciliation of large and complex refunds.
2. Apply large volume of refunds and retractions in the claims processing system.
3. Ensure journal entries are accurate when posting to the financial statement.
4. Update and report daily metrics for the MDI board.
5. Monitor and respond to all claim reconciliation inquiries.
6. Assist in implementation and maintenance of process improvement activities.
7. Act as a trusted resource for the organization and consistently demonstrate IEHP organizational values while building and maintaining strong internal relationships.
8. Demonstrate a commitment to incorporate LEAN principles into daily work.
9. Assists in regulatory, administrative, and annual CPA audits including developing appropriate work-papers.
10. Oversee and review data entry, analyze and audit for timeliness and accuracy.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

 

Three (3) years of experience in an office environment, consisting of accounts payable, cash application and/or general accounting duties.

Preferred Experience

Education Qualifications

 

High school diploma or GED required.

Preferred Education

Professional Certification

Professional Licenses

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement

 

Accounts Receivable, Accounts Payable knowledge required, and Claims Processing knowledge preferred.

Skills Requirement

 

Strong analytical and problem-solving skills. Microsoft Office, Microsoft Excel. Excellent oral and written communication skills.

Abilities Requirement

 

Ability to build successful relationships across the organization. 

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

 

Sedentary work in an office environment.

Physical Requirements

Keyboarding: Traditional - FREQUENTLY
Keyboarding: Other - FREQUENTLY
Use of computer mouse - FREQUENTLY
Hearing: One-on-One - FREQUENTLY
Hearing: In a group - FREQUENTLY
Hearing: Over the Telephone/Cell Phone - FREQUENTLY
Hearing: Conference Speakers/Video Calls/Radio Calls - FREQUENTLY
Turning/rotation of wrist or hand - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Alternate Sit/Stand or Walk at Will - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Sitting - FREQUENTLY
Lighting - CONSTANTLY
Indoors - CONSTANTLY
Perform complex and varied tasks - FREQUENTLY
Develop and maintain positive work relationships - CONSTANTLY
Regular contacts: co-workers, supervisor - FREQUENTLY
Decision-making - FREQUENTLY
Lead/Influence Others - FREQUENTLY
Work review - FREQUENTLY
Rapid Pace of work - FREQUENTLY
Control of work pace - FREQUENTLY
Problem Solving - FREQUENTLY
Memory - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY

 

Starting Salary: $45,468.80  - $56,846.40  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles