What are the responsibilities and job description for the TPA Accounting Manager position at Medical Mutual?
Note: This is a hybrid position based in Brooklyn, OH, requiring 4 days on-site per week.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Job Summary
Plans and manages the financial operations, development and maintenance of claims billing, claims receivables, administration fee receivables and vendor payables for Mutual Health Services (MHS). Develops and maintains accounting records/systems and functional operations as specified by company policy, generally accepted accounting principles and legal specifications. Ensures the optimum utilization of MHS financial resources while adhering to accepted standards of internal control.
Responsibilities
Education and Experience:
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Job Summary
Plans and manages the financial operations, development and maintenance of claims billing, claims receivables, administration fee receivables and vendor payables for Mutual Health Services (MHS). Develops and maintains accounting records/systems and functional operations as specified by company policy, generally accepted accounting principles and legal specifications. Ensures the optimum utilization of MHS financial resources while adhering to accepted standards of internal control.
Responsibilities
- Oversees the accounting, financial reporting and budgeting process for MHS and MMS.
- Monitors and improves the cash receipts and vendor payment processes to meet internal and external customer needs.
- Monitors and improves the claims billing processes to meet internal and external customer needs.
- Makes policy and procedure changes within the department which improve workflow or customer satisfaction.
- Assures customer and vendor inquiry resolution.
- Manages and monitors staff performance.
- Coordinates various audits (e.g., SOC 1, financial statement, internal audits, group) .
- Performs other duties as assigned.
Education and Experience:
- Bachelor's degree in Accounting.
- Master of Business Administration (MBA) and/or Certified Public Accountant (CPA) preferred.
- 6 or more years of progressively responsible work experience in accounting or audit functions at the corporate level.
- 10 or more years' experience preferred.
- CPA or equivalent preferred.
- Proven experience implementing and coordinating accounting objectives/procedures with senior management in a health care/insurance environment.
- Demonstrated leadership skills in developing and monitoring computerized accounting. Advanced knowledge of accounting theory and practice.
- Information systems knowledge as acquired through education or experience. Advanced MS Office Skills, including MS Access.
- Proven experience with operational accounting responsibilities specific to the revenue cycle.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
- We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
- Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
- On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
- Discounts at many places in and around town, just for being a Medical Mutual team member.
- The opportunity to earn cash rewards for shopping with our customers.
- Business casual attire, including jeans.
- Employee bonus program.
- 401(k) with company match up to 4% and an additional company contribution.
- Health Savings Account with a company matching contribution.
- Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
- Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
- Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
- After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
- Career development programs and classes.
- Mentoring and coaching to help you advance in your career.
- Tuition reimbursement up to $5,250 per year, the IRS maximum.
- Diverse, inclusive and welcoming culture with Business Resource Groups.
Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Salary : $5,250