Hours for this non-exempt role are Mondays from 7:00 to 3:30 and T-F 8:00 to 4:30.

This position will require 1-3 days in person at the Troy, MI HAP office. Reliable internet access and a home office environment are needed for this hybrid position.

General Summary:

The primary objective of this position is to monitor and control the process of the Medical and Pharmacy Claim payments, which includes the process and printing of all weekly payment runs (Pharmacy, Claims and Administrative).Monitor and control the administration of the Third Party Administrator (TPA & ASO) payment reporting.Responsible for weekly Talk-Back reconciliations. Maintain all banking and payment information in our Financial system.Act as a liaison to monitor and resolve AP issues involving claims, administrative, and pharmacy invoices for various operating departments at HAP.Enter administrative invoices, review & approve expense reports and assist with the distribution of checks. This position will be responsible for the provider interface data coming into our Financial System from our Claim system.

Principal Duties and Responsibilities:

• Run all weekly payment process jobs. Verify all reports for balancing issues and errors.Process and print all weekly check runs.Reconcile Talk-to and Talk-back reports.
• Process the weekly Pharmacy payment cycle ensuring the internal controls relating to the release of pharmacy checks and related payment information are maintained.Review all incoming files from Pharmacy Benefit Manage before importing into our Financial system.
• Maintain all Third Party Administrator Accounts (TPA & ASO).Send out weekly Transfer Funds Request forms for the weekly claim and pharmacy payments.Monitor our banking system for deposit of funds into an internal checking account in order to release weekly checks.
• Review and process weekly and monthly upload files for payment.
• Weekly processing of Voids, Void/Reissues.Assist in weekly reconciliation of Outstanding checks.Assist in Escheat processing of Outstanding payments.
• Maintain computerized banking information that initiates electronic fund transfers for vendors, employees, and providers.This is maintained in the current financial payables system with secure access only.Responsibilities include the initial setup of direct deposit accounts for vendors and employees, testing, updates to banking accounts and inquiries (telephone, written, and e-mail).Access online e-mail box and fax to retrieve new direct deposit applications.
• Perform daily Claim Vendor maintenance in our Financial system from our Claims system interface; review all incoming department reports from various departments.Verify all vendor additions and changes against the IRS Web for accuracy.Process all vendor/supplier additions and/or changes in our Financial systemNotify internal departments of all corrections to update internal Claim system.
• Assist with the yearly IRS 1099 Withhold Penalty letters by obtaining IRS W9 forms and/or IRS 147C letters for verification against the IRS web. Work with internal departments in making the corrections to our Claims & Financial systems . Also, assist with the IRS 1099 Miscellaneous year end process and mailings.
• Review and process all Employee Expense Reports.Adhere to all internal corporate policies, procedures and confidentiality.Verify all expenses with receipts for accuracy.Send out follow-up e-mails or telephone calls for missing information or questions.Send out warning and/or rejection letters for expenses not covered or not adhering to policy.
• Assist internal & external HAP departments, vendors and suppliers in resolving various AP payment related issues.