General Purpose of Job:

Under general supervision, the Accountant is primarily responsible for accuracy and completeness of financial and statistical data maintained in the Accounts Receivable systems with the Health Plan. The Accountant will prepare various financial reports for the Plan and prepare monthly and quarterly account analyses and reconciliations to ensure accurate and timely financial reporting.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Recommend and implement changes to internal controls and procedures when necessary.
• Conduct special analyses and financial projects as requested.
• Assist with audits; internal, external and regulatory.
• Follow established HIPAA privacy procedures when using and/or disclosing protected health information.
• Follow up on a timely basis, the reconciliation items identified each month. Initiate any transactions necessary to make corrections.
• Review any reports issued related to the Accounts Receivable process. Build cumulative files for month end use where appropriate, follow up on any issues that may be identified prior to month end close
• Actively participate in accounts receivable issues meetings. Follow up on assigned tasks in a timely manner.
• Identify and review payment delinquencies for all groups and subgroups for each company. Communicate to finance management accounts that require action and follow up on status.
• Reconcile Premium Revenue reports for each company (4) to the General Ledger Extract of Transactions. Identify and investigate retroactivity transactions, communicate results to finance management.
• Maintain manual accounts receivable subsidiary ledger for Family Care Maternity Case Rates. Reconcile to general ledger.
• Reconcile for each company the Premium Revenue transactions reports and cash receipts/applied transaction reports to the accounts receivable subsidiary ledger.
• Reconcile for each company the accounts receivable subsidiary ledger to the General Ledger. Resolve and follow up on discrepancies.
• Review FamilyCare (Medicaid) payment files from the State of Michigan as well as the discrepancy reports. Identify items that require follow up action and monitor until completion/resolution.
• Calculate for each company the unearned premium to be booked for the month. Provide journal entry and/or support for entry.
• Support quarterly reporting requirements.
• Prepare quarterly aging for receivables for each company.