Medical Accounts Payable Analyst

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

The Medical Accounts Payable Analyst directly assists the Manager of Finance Medical Accounts Payable, by performing claim disbursement, premium collection, provider refunds, and analysis functions.

• Run, validate, and reconcile bulk refunds in Medibill.
• Process and import HRI (ADAP) bulk payment into Medibill.
• Coordinate, track, and follow up as needed on cases and resolution activities to ensure timely resolution.
• Handle all Web and Portal Requests from providers and applicants, ensuring expeditious and appropriate handling/escalation.
• Assist with premium collections and processes of all lines of business. Ensure all EFT, credit card, and internal payments are entered and reconciled.
• Enter and reconcile premium collections in Medibill to ensure enrollees become eligible to achieve and maintain enrollment.
• Utilize multiple systems including PowerStepp, Medibill, JPMorgan, and Orbital to compile and analyze member data and resolve issues.
• Assist in identifying recurring financial and operational issues related to medical and capitation payments.
• Maintain production and accuracy requirements of the unit.
• Regularly file and scan documentation.
• Distribute and monitor weekly check runs and monthly capitation payments.
• Maintain and track provider and member payments returned to MetroPlusHealth as undeliverable and coordinate resolution with Provider Maintenance, IT, Claims, Enrollment & Membership, and Call Center teams.
• Handle the reprinting of provider Explanation of Benefits as required.
• Assist with premium posting.
• Support the Finance Division, as assigned, during peak activity times and in support of other staff during their time off.
• Responsible for other duties as assigned by Manager of Finance Medical Accounts Payable.

• Associate's Degree required. Bachelor's Degree preferred.
• 3 years of relevant administrative, finance, payment, or accounting processing experience; or
• A satisfactory equivalent combination of training, education, and experience
• Proficiency in Microsoft Word and Excel

Licensure and/or Certification Required

• NONE

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication
• Analytical and problem-solving skills
• Ability to multitask
• Must have ability to work in a team environment