Managed Care Accountant

About Us

All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. Additional employee paid coverage options available. We also offer paid holidays, birthday off, and PTO as well as a 401k plan.

Job Purpose

The Managed Care Accountant is a professional who assists with the overall financial operations and financial processes, including billing, collections, analysis, and client services.

Under the direction of the Finance Manager, the Accountant is relied upon to be proactive in completing assigned tasks and identifying opportunities for improving efficiency and accuracy of financial processes. This role will require good communication skills, the ability to work with other finance and operations team members, and attention to detail.

Duties and Responsibilities

• Works closely with the Finance Manager to maintain accurate financial records and procedures.
• Primary and/or backup for cash deposit function, including both manual and electronic deposits of cash and checks, for both owned and managed accounts.
• Maintain internal controls for handling cash and checks prior to deposit.
• Primary and/or backup for journal entry uploads, keying, and posting for all general ledger.
• Checking and verifying posting reports to ensure accurate general ledger postings. Organizing and filing journal entries.
• Making updates to claims recovery procedures.
• Assist with basic financial accounting and processing of check requests.
• Work with third-party CPAs on annual audits for ACTY clients.
• Prepare and file quarterly financials with the DMHC.
• Reconcile monthly capitation payments received by ACTY clients and investigate payment discrepancies.
• Work with Health Plans to ensure monthly capitation is received for all eligible members.
• Assist with IBNR reporting, claims accruals, and healthcare financial analysis.
• Special projects as needed.

Qualifications

• Bachelor's degree in Finance, Business, Accounting, or a related major preferred, or comparable experience.
• 3+ years of healthcare accounting/finance experience required.
• Experience with capitation reconciliation and managed care financial operations required.
• Experience with IBNR (Incurred But Not Reported/Received) reporting, claims accruals, or reserve analysis required.
• Experience with QuickBooks or similar accounting software required.
• Excellent written and verbal communication skills.
• Ability to work in an extremely confidential environment.
• Strong written and verbal communication skills.

Originally posted on Himalayas