Accountant IV- Medical Expense

Location Address:

Compensation Pay Range:

Summary:

Responsibilities:

Now hiring a Accountant IV- Medical Expense

Prepares and assists in preparing claims and medical cost related journal entries and associated account reconciliations. Responsibilities also include processing medical related vendor payments, as well as review and execution of medical capitation contracts and related reporting.

Some key responsibilities include:

• Prepares numerous monthly routine and more complex journal entries and account reconciliations, primarily related to medical cost management.
• Review account reconciliations support submitted by others in the department for reconciliations in which the role is responsible for.
• Provides assistance and expertise to Accountants I, II, and III. (I dont see that other levels exist)
• Process vendor payments and monitor status to ensure timely and accurate payment.
• Prepares medical claims related statutory schedules for quarterly and annual reporting.
• Assists in other compliance reporting to both related parties and external entities as necessary, ensuring compliance with requirements, accuracy and timeliness of reports.
• Assists in the completion of ad-hoc projects.
• Prepares and responds to audit requests.
• Participates in process improvement initiatives, including implementing system automations in conjunction with other departments.
• Understands and uses the G/L system and feeder systems.
• Performs other functions as required including performing and receiving cross training.
• Exhibits strong time management skills due to tight month-end close deadlines and deliverables.
• Other duties as assigned.

Qualifications:

• Bachelors degree in Accounting or Finance
• 6 years experience in Accounting /Finance or related area
• Healthcare experience preferred.
• Experience working in claims systems and/or provider network management preferred.
• Understanding of the life cycle of a claim and the relationship between provider payments and finance.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.