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Insurance Claims Specialist

Valenz Health

Claims Accounting SpecialistV?lenz Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.About Our OpportunityAs a Claims Accounting Specialist with Valenz's KISx Card solution, you will play a vital role in managing and reconciling financial transactions related to healthcare claims. You'll work closely with our claim and client teams to ensure payment accuracy, data consistency, and compliance with HIPAA and internal controls. This role combines precision bookkeeping with process optimization in a fast-paced, mission-driven healthcare environment.Things You'll Do HereMaintain and reconcile department-level accounting records in QuickBooks.Track inbound payments from TPAs and employer clients (check, ACH, credit card), and ensure accurate tagging by member, employer group, and claim ID.Generate weekly invoices based on claims activity; ensure all documentation is accurate and auditable.Enter vendor bills and service fees into QuickBooks and manage the payment process through Bill.com.Monitor and document ACH pull authorizations, funding requests, and approvals in systems like Propelr.Coordinate the timely payment of imaging and surgical facilities, maintaining accurate logs of pending and completed payments.Ensure accurate and consistent claim status updates across QuickBooks, Bill.com, and internal systems (KI/KX).Maintain thorough documentation and logs to support audits, internal controls, and HIPAA compliance.Create and deliver weekly and monthly reporting on claim funding status, receivables, and payables.Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.What You'll Bring to the Team3+ years of experience in bookkeeping or accounting, ideally within a healthcare or claims processing setting.Proficiency with QuickBooks and Excel; familiarity with Bill.com or similar tools strongly preferred.Demonstrated ability to manage multiple accounts, vendors, and payment methods with accuracy and composure.Strong attention to detail and organizational skills; ability to maintain documentation integrity.A collaborative mindset, with the ability to improve processes and support cross-functional teams.A plus if you have:Experience using Propelr, EZClaim, or working in a healthcare services company.Knowledge of surgical and imaging billing processes.Exposure to HIPAA-compliant environments and secure documentation protocols.Where You'll WorkThis is an in-office role! Our office is located at 1 Kacey Ct, Ste 100 in Mechanicsburg, PA.Why You'll Love Working HereValenz is proud to be recognized by Inc. 5000 as one of America's fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you'll find an engaged culture – one that stands strong, vigorous, and healthy in all we do.BenefitsGenerously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.Spending account options: HSA, FSA, and DCFSA401K with company match and immediate vestingFlexible working environmentGenerous Paid Time Off to include vacation, sick leave, and paid holidaysEmployee Assistance Program that includes professional counseling, referrals, and additional servicesPaid maternity and paternity leavePet insuranceEmployee discounts on phone plans, car rentals and computersCommunity giveback opportunities, including paid time off for philanthropic endeavorsAt Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Vacancy posted 1 day ago
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