Payment Processing Specialist

Health Plans Inc • Westborough, MA

4h • Onsite

About The Position

At HPI, we are a forward-thinking, national third-party administrator (TPA) specializing in self-funded health plan solutions. With over 44 years of industry expertise, our entrepreneurial spirit, flexible approach, and personalized service have empowered us to serve clients of all sizes across diverse industries. We deliver innovative strategies that maximize the value of every healthcare dollar. The self-funded health plan landscape is constantly evolving. At HPI, our partners benefit from having a TPA with the expertise, resources, and creativity to deliver customized plan solutions that help them win and retain more business. We excel at driving costs down and managing risk, while enhancing our clients’ employees’ health insurance experience. Our goal is to help members clearly understand their health plan and provide responsive service, enabling them to fully utilize their benefits and achieve greater health. Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service.

Requirements

• High School Diploma
• 2+ years’ experience in accounts payable, invoicing or general accounting, preferably in the healthcare industry.
• Must work collaboratively with other departments to resolve issues
• Strong decision and problem-solving skills
• Detailed, accurate, organized and able to prioritize tasks
• Able to work within timeframes and meet deadlines
• Recognize and maintain confidentiality
• Communicate in a professional manner
• Proficiency with Microsoft Word and Excel required.

Responsibilities

• Coordinate claim, broker and vendor payment process as it relates to clients’ plan expenses.
• Coordinate invoicing process related to client and member billing.
• Compile and audit various daily reports pertaining to the payment process.
• Research and resolve remittance questions and situations.
• Communicate with claim examiners, account managers and various other departments according to internal and client needs.
• Communicate with outside vendors to insure the issuance and integrity of checks and EOBs created during the check run process.
• Facilitate cross-departmental projects pertaining to billing, funding and enrollment that impact the validity of payments issued by the department.
• Prepare management and client reports as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED