• Senior Disbursement Specialist

    Job Locations US-VA-Glen Allen
    Job ID
    2018-5152
  • About Us

    Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
    By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
     
    At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
     
    If this sounds like you, read on!

    Overview

    This position is primarily responsible for processing QNXT medical expense payments (FFS, Capitation, Member Reimbursements) and interfacing 835 payment files to Payspan. 

    Responsibilities

    • Generate claims payment process in the QNXT claim system and interface to PaySpan
    • Manually run jobs if/when needed to process claims payments
    • Work with various other departments on error resolutions or system issues
    • Reconcile payments processed
    • Analyze issues, determine root cause and work effectively with other teams on corrections or fixes for processes
    • Accurately void checks / payments when necessary
    • Maintain accurate process logs and documentation
    • Analyze refund requests and apply refunds at provider level
    • Generate/analyze 1099 file for year-end processing
    • Perform related work as required

    Qualifications

    MINIMUM EDUCATION REQUIREMENTS

    • Associate degree in Accounting or Business required. Bachelor’s degree preferred.

    SPECIAL KNOWLEDGE AND/OR SKILLS 

    • Ability to multitask and adhere to time sensitive deadlines
    • Flexible and adaptable to changes in environment and/or processes
    • Knowledge of healthcare policies on vendor payments
    • Ability to examine documents for accuracy and completeness
    • Skilled in use of payables systems
    • Ability to prepare records in accordance with detailed instructions
    • Ability to work effectively with co-workers as a team member
    • Ability to communicate clearly and professionally
    • Proficiency in excel required
    • Basic knowledge of generally accepted accounting principles and internal controls
    • Precise attention to detail

     WORK BACKGROUND/EXPERIENCE

    • 3+ years experience in large volume payment processing and reconciliation
    • Previous system resolution experience
    • Previous experience in healthcare or insurance related field helpful

    PHYSICAL REQUIREMENTS

    • Physical health sufficient to meet the ergonomic standards and demands of the position 

    All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

     

    Our mission is to inspire healthy living within the communities we serve!

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