Jobs for People with MS: National MS Society

Hours for this non-exempt role are Mondays from 7:00 to 3:30 and T-F 8:00 to 4:30.

This position will require 1-3 days in person at the Troy, MI HAP office. Reliable internet access and a home office environment are needed for this hybrid position.

General Summary:

The primary objective of this position is to monitor and control the process of the Medical and Pharmacy Claim payments, which includes the process and printing of all weekly payment runs (Pharmacy, Claims and Administrative). Monitor and control the administration of the Third Party Administrator (TPA & ASO) payment reporting. Responsible for weekly Talk-Back reconciliations. Maintain all banking and payment information in our Financial system. Act as a liaison to monitor and resolve AP issues involving claims, administrative, and pharmacy invoices for various operating departments at HAP. Enter administrative invoices, review & approve expense reports and assist with the distribution of checks. This position will be responsible for the provider interface data coming into our Financial System from our Claim system.

Principal Duties and Responsibilities:

• Run all weekly payment process jobs. Verify all reports for balancing issues and errors. Process and print all weekly check runs. Reconcile Talk-to and Talk-back reports.

• Process the weekly Pharmacy payment cycle ensuring the internal controls relating to the release of pharmacy checks and related payment information are maintained. Review all incoming files from Pharmacy Benefit Manage before importing into our Financial system.

• Maintain all Third Party Administrator Accounts (TPA & ASO). Send out weekly Transfer Funds Request forms for the weekly claim and pharmacy payments. Monitor our banking system for deposit of funds into an internal checking account in order to release weekly checks.

• Review and process weekly and monthly upload files for payment.

• Weekly processing of Voids, Void/Reissues. Assist in weekly reconciliation of Outstanding checks. Assist in Escheat processing of Outstanding payments.

• Maintain computerized banking information that initiates electronic fund transfers for vendors, employees, and providers. This is maintained in the current financial payables system with secure access only. Responsibilities include the initial setup of direct deposit accounts for vendors and employees, testing, updates to banking accounts and inquiries (telephone, written, and e-mail). A ccess online e-mail box and fax to retrieve new direct deposit applications.

• Perform daily Claim Vendor maintenance in our Financial system from our Claims system interface; review all incoming department reports from various departments. Verify all vendor additions and changes against the IRS Web for accuracy. Process all vendor/supplier additions and/or changes in our Financial system Notify internal departments of all corrections to update internal Claim system.

• Assist with the yearly IRS 1099 Withhold Penalty letters by obtaining IRS W9 forms and/or IRS 147C letters for verification against the IRS web. Work with internal departments in making the corrections to our Claims & Financial systems . Also, assist with the IRS 1099 Miscellaneous year end process and mailings.

• Review and process all Employee Expense Reports. Adhere to all internal corporate policies, procedures and confidentiality. Verify all expenses with receipts for accuracy. Send out follow-up e-mails or telephone calls for missing information or questions. Send out warning and/or rejection letters for expenses not covered or not adhering to policy.

• Assist internal & external HAP departments, vendors and suppliers in resolving various AP payment related issues.

  Education Required:

• Bachelor’s Degree with major in Business/Finance. In lieu of academic requirement, related experience would be highly considered.

  Experience Required:

• Minimum of four (4) years’ experience in a financial discipline OR

• Four (4) years of Accounts Payable work experience.

  Skills and Abilities:

• Analytical skills - ability to analyze & reconcile balances on system, adjustments and other worksheets.

• Good oral and written communication skills.

• Ability to work with diversified backgrounds of individuals.

• Ability to maintain positive work relationships and work effectively with various levels of staff.

• Emphasis on attention to detail.

• Experience in problem solving and data validation.

• Self-motivated.

• Able to meet deadlines and handle multiple tasks.

• Basic accounting procedures and financial techniques.

• Proficient in the use of data processing, Microsoft Word, Excel.

• Knowledge of analytical and problem-solving techniques.

• Working knowledge of Oracle Accounts Payable (preferred).

• Understanding of HAP Claims, Pharmacy and Administrative Processing and related reconciliations (preferred).

Additional Information

• Organization: HAP (Health Alliance Plan)

• Department: DISBURSEMENTS

• Shift: Day Job

• Union Code: Office/Non-Exempt, HAP

  Additional Details

  This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more athenryford.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.