Membership Accounting Analyst (DP)

Position Summary

The Membership Accounting Analyst is responsible for the timely and accurate resolution of discrepancies identified in the Enrollment, Billing and/or Reconciliation processes. The analyst will review documentation, work items in queues and correct errors, identify trends and document resolutions.

Responsibilities

Enrollment Processing

• Process queue items, inter-departmental and customer requests timely and accurately.
• Review incomplete and pending enrollment applications and disenrollment forms for correction and submission to Centers for Medicare & Medicaid Services (CMS).
• Review and complete Late Enrollment Penalty (LEP) Attestations.
• Review and complete Other Health Insurance (OHI) verification and error correction.
• Review and create retro processing packets to be submitted to the CMS Retro Processing Contractor (RPC).

Billing Processing

• Identify...