Accounts Payable and Claims Specialist

AcuteCare Health System LLC•Oceanport, NJ

About The Position

BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. The Accounts Payable & Claims Specialist is responsible for the accurate and timely processing of accounts payable transactions for BoldAge and its affiliates. This role ensures proper coding, approval, and payment of vendor invoices while maintaining compliance with internal controls and supporting accurate financial records. In addition to core accounts payable duties, the position provides structured support to the Finance team during the month-end close process as needed. This position is also responsible for assisting in adjudicating and processing claims for the Claims team when there is availability after AP duties have been completed for that day/week.

Requirements

An Associate’s Degree in Accounting, Finance, Business Administration, or a related field is required.
Claims processing experience required.
Accounts payable experience or general accounting experience required.
Complete knowledge of office procedures and computer literacy required.
Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact. (if applicable)
Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.

Nice To Haves

Bachelor’s degree preferred.
Experience with month-end close support or general accounting tasks preferred.

Responsibilities

Enter and upload vendor invoices and claims batches with proper documentation ensuring accurate coding, approval routing, and compliance with AP policies.
Meet weekly deadlines for check processing.
Comply with organizational methodology for naming conventions for invoice numbers and/or descriptions.
Maintain vendor files, W-9s, and payment records in accordance with audit compliance and IRS standards.
Respond timely to vendor inquiries professionally and resolve discrepancies.
Maintain organized records of invoices, listing of managers that approve invoices by site, payment due dates, and vendor communications to ensure efficient operations.
Assist with AP accruals, ensuring expenses are recorded in the proper accounting period.
Substantiate AP-related transactions by auditing invoices and supporting documentation.
Set-up of new utility vendors with ACH auto-pay and recording on master utilities list.
Assist in collection of ACH information for vendors and proper verification of such information before it is entered into the accounting system.
Assist with processing claims and handling claims appeals.
Check claims email daily and forward to appropriate person to handle.
Price hospital claims through the Web Pricer.
Demonstrate a thorough understanding of matching appropriate authorizations to claims and tracking down missing authorizations.
Assist with monthly, quarterly, and annual close activities as directed, as well as providing supporting documentation for the annual audit.
Prepare basic analysis to support financial reporting (e.g., invoice trends, vendor spend analysis).