Job Information
Regional West Health Services Financial Specialist in Scottsbluff, Nebraska
Financial Specialist - Funding/Stop Loss
Full TimeClerical/Admin Regional Care, Inc., SCOTTSBLUFF, NE, US
Regional Care, Inc. (RCI) is one of the nations premier independent third-party insurance administrators based in Scottsbluff, Nebraska and is actively looking for an individual with strong customer service to join the team as a Financial Specialist for Funding/Stop Loss.
Our mission is to continue to grow our business by offering unique products and delivering exemplary services to our clients and broker partners while managing health care costs effectively.
To serve this mission, the Financial Specialist for Funding/Stop Loss will be responsible for funding processes to include daily funding request to groups; daily claims funding process for health, dental and vision claims; daily check runs for health, dental, and vision claims; specific stop loss claim filings; specific stop loss processes; adjusting claims for refund check received; research refund checks; and application of refund checks.
As an RCI Financial Specialist for Funding/Stop Loss, you will:
- Complete process for daily funding requests to groups including verification of credits due group with explanation; review totals to ensure accurate funding request amount is being requested; verification of check number sequence, if applicable; communicate funding request to group to request funds to pay claims.
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``` - Post funds daily that are received from groups in the claims system; building and verification of ACH transaction file to transfer funds to pay claims based on groups approvals; review of bank accounts for wires from groups. - Review workflows for stop payment questions, verifying type of payment, communicating with vendor and/or bank as appropriate, completing stop pay and reissue or block as needed, complete workflow as needed for internal communication and procedures.
You may be a good fit if you have:
- A High School Diploma with education in business/accounting preferred
- One to two years of experience in business/accounting preferred
- One to two years of experience in general office preferred
If this sounds like you, wed love to connect!