Lead Membership Accounting Specialist
Job Title
Lead Membership Accounting Specialist
Duration
Open until filled
Work Hybrid
Yes
Description
Let’s do great things, together!
About ModaFounded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position SummaryCoordinate and handle complex accounts and be a point of contact for external (CMS, FFM, CCO/DCO, Employer Groups, etc.) and internal constituents; provide back up for Supervisor and assists the Supervisor in monitoring unit performance relative to key objectives; provide on-going technical support and back up for all eligibility, billing and reconciliation for the unit; be a model of leadership, help guide and develop your team; identify, develop and conduct unit training needs on a primarily individual basis for all existing employees and backs up the trainer for all new employees. This is a full-time hybrid position.Pay Range$25.08- $31.35 hourly (depending on experience)
Please fill out an application on our company page, linked below, to be considered for this position.
https://j.brt.mv/jb.do?reqGK=27732615&refresh=true
Benefits:
Medical, Dental, Vision, Pharmacy, Life, & Disability
401K- Matching
FSA
Employee Assistance Program
PTO and Company Paid Holidays
Required Skills, Experience & Education:
High school diploma or equivalent.
Computer proficiency with Microsoft Office applications.
Typing proficiency of 35 wpm preferred.
10 key proficiency of 135 spm on a computer numeric keypad/calculator preferred.
12 months experience as a Membership Accounting Specialist, consistently exceeding all levels of performance or equivalent experience preferred.
Familiarity with Moda and/or BHS enrollment, billing, reconciliation and other operational systems and workflows preferred.
Ability to train others and present information in a well thought out and easily understood fashion.
Strong verbal, written, and interpersonal communication skills and ability to interact professionally, patiently, and in a positive manner with internal and external customers.
Ability to instruct, motivate and direct individuals at various skill levels, and various personality types, face to face an in the classroom environment.
Strong analytical, problem solving, decision making, organizational, and detail orientated skills.
Ability to work well under pressure and set priorities in a complex and rapidly changing environment.
Maintain confidentiality and project a professional business image.
Good to great leadership skills, previous leadership experience preferred.
Ability to work with frequent interruptions and demonstrate professional leadership qualities. Self-motivated, requiring little to no guidance or direction.
Primary Functions:
Identify, develop, and conduct unit training needs primarily on an individual 1:1 basis.
Assist Membership Accounting Specialists in problem solving and problem resolution. Provide on-going technical support to unit and acts as a liaison with other departments.
Coordinate new group set-up for the more complex accounts, this includes but not limited to verification of the group application, meeting with group administrators and participating in installation meetings with Sales, BIU, IT and Marketing personnel.
Provide back up for supervisory duties and be a model of Leadership to your department while guiding and developing the Membership Accounting specialists. Could include assuming the role of interim supervisor for the unit.
Provide back up to the Membership Accounting Trainer and all Membership Accounting Specialists in the unit.
Assist in updating department policies and procedures.
Administer quality control audits for established unit staff.
Monitor unit performance relative to key objectives and turnaround time.
Handle special projects and assignments as determined by Management including the development of new programs and associated documentation.
Other duties as assigned
Working Conditions & Contact with Others
Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need.
Internally with all departments and all levels. Externally with Group Administrators, TPA’s, State and Federal Regulators, Members, Auditors and Agents.
Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.
