Overview
Medical Accounting Coordinator II Jobs in Los Angeles, California, USA at L.A. Care Health Plan
Position: Medical Payment Accounting Coordinator II
Medical Payment Accounting Coordinator II
Job Category: Accounting/Finance
Department: Medical Payment System & Services
Location: Los Angeles, CA, US, 90017
Position Type: Full Time
Requisition : 11847
Salary Range: $55,245.00 (Min.) – $69,045.00 (Mid.) – $82,867.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan, serving more than 2 million members.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County’s vulnerable and low-income communities and residents.
The Medical Payment Processing Coordinator II is responsible for ensuring all System Application and Products (SAP) provider claims, incentives, Capitation payments, and Member out-of-pocket refunds for all Lines of Business (LOBS) are processed in accordance with L.A. Care regulatory policies and GAAP regulatory requirements.
This position works with various departments to coordinate payment cycles, analyze and upload into the SAP system, prepare submitted documents, reconcile output of various data files to ensure payments and coding accuracy, and communicate discrepancies to appropriate departments.
Duties
Responsible for the cost of care check processing cycles by line of business. Ensure all cost of care payments are produced accurately and timely, including mailing.
Responsible for analyzing provider/member payment disputes through resolution to inquiring parties in a timely manner.
Validate documentation provided by Appeals & Grievances Dept. for member reimbursement requests to ensure regulatory requirements are met.
Responsible for the preparation of all cash-related documents and reconciliation of reports.
Coordinate and accurately upload multiple data files representing payment data into SAP.
Validate and analyze technical jobs in the core SAP system and communicate results in a timely manner.
Maintain and categorize all electronic files correctly for easy access.
Perform other duties as assigned.
Education
Required
Education
Preferred
Associate’s Degree in Business Administration or Finance
Experience
Required: At least 2 years of experience in a fast-paced office setting with familiarity and proficiency with a computerized environment, particularly working with databases and producing reports.
Preferred: SQL experience
Skills
Required:
Excellent organizational skills.
Demonstrated ability to work effectively in a team environment.
Excellent verbal and written communication skills.
Excellent computer skills, proficient in Microsoft Excel and Word.
Ability to multitask.
Excellent analytical skills with attention to detail.
Preferred: SAP and QNXT knowledge a plus.
Licenses/Certifications Required Licenses/Certifications Preferred Required Training
Physical Requirements
Light
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including:
Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
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Title: Medical Accounting Coordinator II
Company: L.A. Care Health Plan
Location: Los Angeles, California, USA
Category: Finance & Banking, Administrative/Clerical
