Reconciliation Analyst - Remote

Overview

The Reconciliation Analyst at MediGold plays a crucial role in ensuring accurate membership processing and financial transactions within a not-for-profit Medicare Advantage insurance plan.

In Short

• Plan, organize, and monitor enrollment and reconciliation processes.
• Ensure accurate billing and premium payment reconciliation.
• Maintain knowledge of CMS regulations related to enrollment and billing.
• Compile documentation for special status payment requests.
• Respond to inquiries from government agencies regarding membership.
• Monitor membership and financial transactions.
• Provide timely enrollment information to members.
• Work collaboratively with internal and external groups.
• Utilize Microsoft Office for data management.
• Engage in ongoing learning about the health plan.

Requirements

• Associates degree in business or related field preferred.
• Experience in the managed care insurance industry required.
• Ability to apply regulations to work processes.
• Proven ability to track and report financial data.
• Analytical and problem-solving skills.
• Service-oriented with customer issue resolution skills.
• Strong communication skills.
• Experience with financial reporting.
• Ability to work with diverse teams.
• Proficiency in Microsoft Office.

Benefits

• Competitive compensation and benefits package.
• Medical, dental, and vision coverage starting on day one.
• Retirement savings account with employer match.
• Generous paid time off programs.
• Tuition/professional development reimbursement.
• Employee recognition programs.
• DailyPay option for timely access to earnings.
• Relocation assistance available.
• Opportunities for diversity and inclusion initiatives.
• Discounted tuition at Mount Carmel College of Nursing.