Revenue Reconciliation Analyst

$38,813 - $65,998/Yr

Centene - Mechanicsburg, PA

Full-time - Entry Level

Mechanicsburg, PA

Ambulatory Health Care Services

About the position

The Revenue Reconciliation Analyst plays a crucial role in reconciling memberships and premiums between the Health Plan and government partners. This position involves conducting timely reporting, recommending process improvements, and collaborating on reconciliation processes to ensure accurate premium collection. The analyst will also engage with members to assist with their Redetermination and provide support in navigating the renewal process, ensuring high-quality customer care throughout.

Responsibilities

• Reconcile memberships and premiums between the Health Plan and government partners.
• Conduct timely reporting and offer process improvement recommendations.
• Collaborate on reconciliation processes for Community Health Choices to ensure appropriate premium collection.
• Provide outreach to members via phone to support with their Redetermination.
• Assist members in connecting to County Assistance Offices for additional help with renewal packets.
• Multi-task using various internal and external applications to identify and research monthly premium discrepancies.
• Download reconciliation results into management reporting tools and track, research, and resolve discrepancies.
• Engage in membership eligibility research to analyze and resolve payment discrepancies.
• Provide management with monthly established Financial Indicators.
• Quantify and document revenue implications of payment discrepancies.
• Contribute to the development and documentation of reconciliation workflows and educational tools.

Requirements

• High School diploma or GED required; Bachelor's degree in a related field may substitute for 2 years' experience.
• 2+ years of experience in Reconciliation, Auditing, Accounting, or Analytics.
• Health insurance experience preferred.
• Experience with government program regulations preferred.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules including remote, hybrid, field, or office work options