Health Plan Finance Operations Specialist

Your Future is our Future

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Position:

Health Plan Finance Operations Specialist

Position Summary:

Provides accounting and finance support to a fast-paced, client-oriented accounting department in the areas of accounts payable, accounts receivable, accounting close, reporting, and other special projects. Uses a combination of tools, techniques, and technologies to review, report, generate, and interpret financial data used across the organization.

Job Description:

Primary Responsibilities

• Performs any combination of invoice processing, including entering invoices into the system, responding to customer inquiries, obtaining necessary documentation and approvals, reviewing account coding, and processing transactions for payment.

• Processes and records account receivable transactions, including cash receipts and credit memos.

• Monitors customer accounts for non-payment, delayed payments, and other irregularities.

• Performs collections activities, including contacting customers regarding outstanding balances.

• Maintains vendor information in the system and verifies addresses and Federal ID numbers of vendors.

• Assists in reporting requirements and filings, including reviewing and obtaining W-9s for 1099 preparation.

• Creates and distributes monthly reports to clients.

• Prepares multiple monthly reconciliations for clients.

• Prepares deposit of client receipts.

• Validates monthly capitation calculations and works with Accounts Payable to ensure timely payment.

• Assists with new client implementation and software upgrades.

• Handles various Finance functions carried out on the client's behalf.

• Supports all aspects of the claim overpayment functions from letter creation to application of payment and monitoring of voluntary refunds.

• Handles the collections process and works with the collections agency as necessary.

• Supports accounting close by participating in the preparation of various portions of the accounting close, including but not limited to various journal entries and account reconciliations related to accounts payable and receivable.

• Works with multi-discipline teams on various special projects as they arise.

Qualifications

• High school diploma, GED, or equivalent.

• 1+ year of relevant accounting/finance experience, including accounts payable and accounts receivable.

• Basic knowledge of Generally Accepted Accounting Principles (GAAP) and proficiency in basic accounting processes, procedures, and controls.

• Good PC skills, including Microsoft Office programs and strong Excel skills.

• Experience working with cross-functional departments to research and resolve routine issues.

• Strong attention to detail, solid problem-solving, and data review skills.

• Ability to meet multiple deadlines, prioritize workload, and multi-task in a fast-paced environment.

• Good verbal and written communication skills.

• Required to pass a credit check.

Preferred

• Bachelor's degree in Accounting or Finance or progress toward earning a degree.

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Pay Transparency:

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

$44,100.00-$54,825.00

Benefits of working at Lumeris

• Medical, Vision and Dental Plans

• Tax-Advantage Savings Accounts (FSA & HSA)

• Life Insurance and Disability Insurance

• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)

• Employee Assistance Program

• 401k with company match

• Employee Resource Groups

• Employee Discount Program

• Learning and Development Opportunities

• And much more...

Be part of a team that is changing healthcare!

Member Facing Position:

No- Not Member or Patient Facing Position

Location:

St. Louis, MO

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Disclaimer:

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

Join Our Growing Team!

Lumeris is bringing common sense back to the business of healthcare by empowering value-based care. We create the partnerships and perspectives that are making healthcare safer, more affordable and more personalized for providers, patients and payers alike.

We were founded on the belief that it should be easier to provide the right care, at the right time, at the right cost. Our model is bringing that belief to life, improving outcomes and empowering financial sustainability along the way.

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.