Accounting Administrator Salary in Salem, NH

Job DetailsAre you passionate about improving the quality of healthcare? Are you ready to leverage your talents to make healthcare better for everyone? Do you want the opportunity to give back to your community? Do you want to have fun at work? Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!SummaryHSAG is nationally recognized as an industry leader in the areas of audits, data analysis, measure development, and patient satisfaction surveys. We are in search of talented individuals who are interested in a career in healthcare performance measure auditing as an Auditor, Sr. in HSAG's Audits department within the Data Science & Advanced Analytics division. Together we can spread positive change to make healthcare better. The Auditor, Sr. position benefits from HSAG's desire to grow its staff into future leaders of healthcare quality improvement in the nation. HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques. HSAG offers:A comfortable work-life balance, and flexible work schedules.Three weeks of paid time off and 15 company-paid holidays where staff leave two hours early prior to each holiday to get a "jump start" on holiday festivities.HSAG offers a competitive benefit package which includes medical, dental, vision, tuition reimbursement and 401(k).The Auditor, Sr. is a primary contributor to the Audit department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, this position performs-under supervision-healthcare auditing, data validation, and performance measurement projects through various stages including implementation, day-to-day operations, audit support, evaluation, and reporting. Activities include independently developing work plans, report templates, and timelines; independently leading contracts and project tasks; guiding coordination and Auditor I, II, and III staff in oversight and maintenance of project files and other project tasks; leading client teleconferences and meetings; performing online research on healthcare topics; leading performance measure validation audits; and providing regular progress reports to Data Science & Advanced Analytics management staff.Details regarding potential project assignments will be discussed with potential candidates during the interview process.Essential Competencies, Duties and ResponsibilitiesServe as a primary contributing member of HSAG's Audits department within DSAA.Serve as a lead auditor for all performance measure validation audits.Lead and manage multiple client contracts as primary point-of-contact and subject matter expert.Mentor and train junior staff with limited supervision.Provide oversight of supplemental Healthcare Effectiveness Data and Information Set (HEDIS®)[1] audit operations.Independently act in a liaison capacity between appropriate management personnel and staff, transmitting decisions and information to organizational units as appropriate, as well as outside agencies and organizations.Lead project management tasks, including communication (written, phone, fax).Communicate directly and manage project partners, consultants, subcontractors, and other entities on audit and performance measure validation-related projects.Maintain, tag, and sort documents for assigned projects on appropriate SharePoint team sites and HSAG's corporate and federal networks following HSAG prescribed governance rules.Prepare project deliverables and lead documentation and submission of deliverable using the appropriate mechanism (i.e., electronic, hard copy, direct data entry etc.).Develop and adhere to project time and task schedules, identify opportunities to improve the project process, and develop quality improvement activities accordingly.Meet agreed-upon deadlines in a timely fashion and independently and accurately prepare and type deliverables, reports, various project documents, letters, and other material.Lead and complete the development of written and data-oriented reports in Microsoft Word and Excel.Conduct research via the Internet including literature searches of clinical topics as assigned.Participate in and lead pertinent healthcare educational and training presentations as required.Conduct Internal Quality Control (IQC) monitoring regarding efficiency/effectiveness of activities conducted. Present issues and recommended solutions and take corrective actions as indicated.Serve as a subject matter expert to HSAG staff and clients on HEDIS measures and non-HEDIS performance measures as applicable.Represent HSAG in a professional manner at all times.[1] HEDIS Certified Measures® is a registered trademark of the National Committee for Quality Assurance (NCQA).Compensation: 101,000 to 125,000/annually DOEJob Requirements:Education and/or ExperienceMaster's degree in business, science, or healthcare-related field.At least seven years of work experience in healthcare and a minimum of ten years of work experience are required.Certified HEDIS Compliance Auditor (CHCA) required.At least five years of auditing experience and four years of experience as a lead auditor; at least four years in HEDIS auditing and/or data validation, with at least one year as a lead are required.Advanced knowledge of performance measures is required.Experience writing client reports as a lead author and report designer is required.Prior experience leading multiple medium and large projects or contracts is required.Experience writing responses to requests for proposals is required.At least two years of supervisory experience, including experience mentoring junior staff.Other QualificationsProficient English/communication skills (i.e., public speaking, spelling, composition, grammar, proofreading and editing).Proficient interpersonal skills.Experience in Microsoft Word, PowerPoint, and Outlook.Experience in Microsoft Excel.Experience in conducting research via the Internet.Ability to handle several projects simultaneously and work with multiple teams.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.HSAG All User Information Security ResponsibilitiesAll workforce members, volunteers, contractors or third-party agents of HSAG, Inc. who are authorized to access information systems and/or associated company data on paper or in electronic format are responsible for the following:Adhering to policies, procedures and guidelines pertaining to the protection of HSAG Company Data.Reporting actual or suspected breaches or vulnerabilities in the confidentiality, integrity or availability of HSAG Data to your immediate supervisor/manager, Corporate Compliance or Information Technology/Security Personnel.Reporting actual or suspected breaches or vulnerabilities in confidentiality, integrity or availability of Corporate Data, may be reported anonymously, via the NAVEX Global Compliance hotline at 1-800-992-9892.HSAG publishes various policies, guidelines and procedures related to the protection of Corporate Data and Information Systems. They can be found on the corporate SharePoint website. Information on requirements that may be unique to your business unit or a system you have access to can be found by talking to your supervisor/manager or designated system administrator.DisclaimerThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs requiring non-regular work hours, or technological developments).HSAG is an EEO Employer of Veterans protected under Section 4212.If you have special needs and require assistance completing our employment application process, please feel free to contact us. 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Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.Responsible for the service and retention of PacificSource Administrators clients (FSA, HRA, TRN, COBRA, and Premium Administration). Build positive customer relationships through the promotion, education, and service of company products and services and developing consultative relationships with agents and employers. Act as an expert resource for the group to ensure inquiries are responded to and resolved in a timely fashion. Ensure existing groups are satisfied with and recognize the value offered by PacificSource Administrators. Support the implementation, and renewal of the PacificSource Administrators groups included in the assigned block of client groups.Essential Responsibilities:Work with sales team to deliver ongoing service of an assigned block of client groups.Work with employers and brokers who contact PSA directly to handle concerns, issues, and problems through to completion.Act as liaison between employers, plan administrators, agents, and PSA administrative departments.Track, record, and prepare written reports regarding problems, areas of needed improvement, and distribute them, as appropriate, to the group file, affected PSA departments and staff, group's agent, and Operations, Sales Manager.Establish proactive, strategic, value added service and regular contact with client groups. Provide reports, compliance consultation, and opportunities to streamline service and increase member satisfaction.Maintain contact database with history records and follow-up appointments.Assist with the renewal process. Review client's plan(s) for needed changes, updated documents, etc. Review rates for accuracy and appropriateness. Look for opportunities to sell or provide added services. Look for opportunities to increase automatic claims processing and web utilization, Benefit Card utilization, provide electronic billing, or introduce other efficiencies.Provide timely follow up with agents and employer groups regarding renewals based on established renewal dates.Work with Sales and Client Service associates to scrub renewal set-up forms and documents for completion and accuracy and follow-up on missing information.Manage expectations and communicate the renewal implementation process and timetable.Complete renewal tracking reports and worksheets.Determine and record reasons for terminations and relay the information to the Operations, and Sales Manager.Manage education and enrollment information delivery to new and renewing groups via enrollment materials, web-based information and tutorials, presentations - either live or via webinar, utilizing PowerPoint when appropriate, and group level introduction and administration trainingCoordinate with Sales Manager to make sure there is a clear understanding of the products and services sold to any new or renewing PacificSource groups. Complete any documentation necessary to implement or renew Groups. Responsible for servicing group.Consult with groups to ensure they are educated on PacificSource Administrators products, administrative procedures, and legislative changes. Follow the service model guidelines for outreach to client based on group size, small or large group. Track and maintain service visit log. Write, proof and distribute account service reports to the broker of record.Develop positive working relationships with group administrators by serving as a first resource for benefits, compliance, and plan information. Act as a liaison between groups, Brokers, and PacificSource Administrators to resolve problems and comply with requests. Communicate with groups, Brokers, PacificSource Administrators departments, and the Sales Manager as needed.Distribute and explain the products and services provided by PacificSource. Review Plan Document, Summary Plan Description and Summary of Benefits and Coverage as appropriate. Identify and deliver meaningful content to employer groups in your assigned block of business.Participate in group enrollment/employee benefit meetings, wellness/health fairs, for PacificSource Administrators groups. Group benefit meetings include presentation of the PacificSource Administrators products purchased by the group. Include training on administrative procedures, and access to other PacificSource services provided by the benefit plans offered.Serve as client contact and problem solver for a wide scope of issues. Receive, analyze, and respond to client issues with appropriate follow-up on specific customer requests, including administration questions, supply requests, problem resolution, and intricate claims issuesAttend internal and external meetings as required. Share best practices with team.Identify cross selling opportunities to existing PacificSource groups and coordinate discussions about these opportunities with sales executive.Determine reasons for Group terminations and record information for team/executive review.Represent PacificSource Administrators, both internally and externally, as required at events, and any other community activities or volunteer opportunities.Supporting Responsibilities:As requested, participate in and lead company benefit training programs.Regional office Account Managers may be required to assist with clerical duties for efficient administrative office functions.Meet department and company performance and attendance expectations.Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.Perform other related duties as requested or required.SUCCESS PROFILEWork Experience:Minimum of three years' related work experience in a professional environment. Health insurance or producer experience, specifically with FSA, HRA, TRN, POP, and COBRA experience preferred. Solid customer service experience is required.Education, Certificates, Licenses:Requires AA/AS in Business or related field; or equivalent combination of education and experience. BS in Business Administration or related field is preferred. Current Life and Health license (or eligible to earn license) as a Life & Health Insurance Sales Producer preferred.Knowledge:Intermediate knowledge/skill level with use of Microsoft Office programs. Knowledge of PSA/PacificSource products and services, the competitive environment, and applicable laws and regulations. Ability to provide expert guidance on applicable IRS and COBRA regulations and teach continuing education courses. Knowledge of the mission of PSA/PacificSource Health Plans. Timely and accurate response to client needs and requests. Responsible to represent the entire staff in the marketplace through expertise, reliability and professionalism. Knowledge and ability to be self-directed and organized to effectively service clients and facilitate back-up by colleagues. Experience with office management and employee relations.Ability to communicate effectively with all types of individuals. Ability to work in a fast-paced environment, managing shifting priorities and multiple tasks simultaneously. Requires a high level of integrity and trust, given frequent exposure to confidential material. Demonstrated ability to remain resilient, flexible, and focused in a changing environment.Competencies:AdaptabilityBuilding Customer LoyaltyBuilding Strategic Work RelationshipsBuilding TrustContinuous ImprovementContributing to Team SuccessPlanning and OrganizingWork StandardsEnvironment: Work inside in general office setting with ergonomically configured equipment. Travel is required approximately 40% of the time. Generally travel by automobile and some overnight stays.Skills:Accountability, Business & financial acumen, Collaboration, Communication, Developing Networks, Flexibility, Listening (active), Strategic ThinkingOur ValuesWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:We are committed to doing the right thing.We are one team working toward a common goal.We are each responsible for customer service.We practice open communication at all levels of the company to foster individual, team and company growth.We actively participate in efforts to improve our many communities-internally and externally.We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.We encourage creativity, innovation, and the pursuit of excellence.Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Membership Administrator ITelecommute within ID, OR, WA or UT ResponsibilitiesThe Membership Administrator I establishes and maintains eligibility, bills premium, reconciles cash, pursues aged accounts and provides eligibility and billing related customer service for Individual, Group, Government Programs, Cobra and Flexible Spending business.General Functions and OutcomesProcess Individual, and/or small, large or specialized group enrollment applications. Calculate appropriate waiting-period credit, eligibility data, effective date, and enter benefits, bank draft identification information, name, social security number, address, family members and primary care physician information with network coding, which is consistent with the employer/individual contract. Review, maintain and enter changes on individual and/or group accounts which may include change of effective date(s) for insured coverage or members, addition or deletion of insured or members from coverage, etc.Place, receive and track calls to obtain information required to complete application processing such as calling an employer or agent to verify date of hire, a subscriber to verify benefit selection, or the previous carrier to determine effective dates of coverage with their plan.Provide customer service to internal and external customers by supplying information through written correspondence and responding to telephone inquiries. Make any necessary corrections or adjustments.Perform all eligibility and reconciliation tasks accurately and timely for assigned business segment, adhering to established procedures including identification of discrepancies between payment and amount invoiced.Generate group or individual billings. Review billings and ensure accuracy before distributing.Order member cards and audit these against the member applications for accuracy, correct corporate logos, lines of business co-pay, PCP, and any member card comments.Appropriately apply corporate underwriting and governmental guidelines and policies in eligibility processing.Ensure cash is processed through daily reconciliation to achieve established cash turnaround standards.Identify and prioritize work in order to meet deadlines.Monitor, pursue and report on aged accounts to ensure amounts are accurate and cleared in time to meet goal of achieving corporate standards.For Government Programs related jobs, gain working knowledge of State and Federal regulations.Incorporate and apply changes made to Membership Accounting, Underwriting or State and Federal policies and procedures to ensure current requirements are met.Meet established departmental performance expectations.Ensure member confidentiality in all aspects of eligibility and billing processes.Comply with MTM, Consortium or Governmental quality, timeliness and other standards as they relate to membership activities and responses to inquiries to meet BlueCross and BlueShield Association or CMS standards and corporate goals.Coordinate transfer and receipt of electronic data as applicable with various outside entities including CMS, employer groups, agents and vendors.Assist with user acceptance and system integration testing.Work overtime and on weekends, as necessary.Perform various clerical tasks.Backup other staff members by providing phone coverage and assisting with mail, filing and other special projects.Attend and participate in training and staff meetings.Minimum Requirements30 wpm with 95% accuracy typing skills.10-key by touch (8500 keystrokes per hour with 95% accuracy preferred).PC experience - Word, Excel and Outlook - or comparable software - and ability to learn and use complex systems.Strong math skills (mathematical calculations and concepts), judgment and other resources to implement effective problem solving.Ability to organize and prioritize work.Must be detail-oriented and self-motivated.Must be dependable and maintain attendance at or above departmental standards.Must be able to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.Must be able to communicate effectively both orally and in writing.Must be able to establish effective working relationships with staff and customersNormally to be proficient in the competencies listed aboveThe Membership Administrator I would have a High School diploma or GED and one year accounts receivable or customer billing experience or an equivalent combination of education and job-related work experience.Depending on candidate's experience and geographical location:The hourly range for this role is $17.20 - $26.60. The bonus target for this position is 5%. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.