Job Location : San Diego,CA, USA
Apex Systems is hiring for an Account Administration Representative for a major healthcare client!Location: San Diego, CA (Partial Remote)*Must live within 2-hours of Mission Valley.6 months contact with potential to extend. You must be able to work within the United States without sponsorship. Purpose:This position supports the Membership/Contracts functions within a centralized service center. The primary responsibilities include account maintenance, billing, reconciliation, reporting, and customer service. Additional duties involve database maintenance, research, contract and ID card generation, facilities support, and document imaging.This role will be involved with reviewing and resolving member NON-clinical grievancesKey Responsibilities:Reconcile billing payments to ensure accurate eligibility, payment, revenue, and membership records.Process and maintain member data, including enrollments, corrections, retroactive adjustments, and terminations.Respond to eligibility inquiries and ensure timely and accurate billing.Communicate with benefit administrators to explain policies and resolve membership and billing issues.Support sales and service representatives in resolving membership accounting problems.Conduct audits for purchasers with payment variances or delinquencies and resolve discrepancies.Ensure compliance with policies and contractual provisions.Prepare reports and manage purchaser correspondence.Process daily purchaser deposits and bank sources accurately and on time.Assist in producing and distributing payment-related reports and maintaining related equipment.Support Medicare processing and reporting requirements.Update contract systems with changes quickly and accurately.Produce and distribute contracts and notices for new and renewing purchasers.Manage medical record number (MRN) issues and follow up as needed.Coordinate electronic eligibility reporting and maintain related equipment and logs.Identify, code, batch, scan, and index documents for imaging.Provide office services support, including mail handling, filing, supply management, and copier maintenance.Collaborate with internal and external stakeholders to resolve support service issues.Track productivity and customer service quality metrics.Participate in team projects and contribute to service and operational improvements.Assist with training and facilitate cross-functional communication.Contribute to performance evaluations and target-setting activities.Perform other duties as assigned.Requirements:Minimum of 2 years of experience in accounting, finance, or a related field preferred.Strong proficiency in math, data entry, typing, spelling, and grammar.Demonstrated ability to work effectively in a team environment.Proven customer service experience.Strong problem-solving and analytical skills.Clear and professional communication skills.Proficiency with PC-based computer systems; experience with mainframe applications preferred.Willingness to learn and adapt to new tasks and business needs.Excellent conflict resolution and decision-making abilities.Ability to manage multiple tasks and shifting priorities effectively.High attention to detail and accuracy to ensure first-time resolution of cases. Required Technologies: Microsoft 360 Experience in below is a plus: EPICOracleEEO EmployerApex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or 844-###-####.Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico. Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.