Funding Specialist

Position Summary

The Funding Specialist is responsible for preparing and submitting funding requests to clients for claims incurred by covered members of the group health plan. In addition, they help to facilitate the payment transactions either in the form of an electronic payment or paper check. These payments are for both provider and vendor payments. This position will also be responsible for monitoring and recording financial transactions and approvals from clients, releasing appropriate payments to providers, as well as fulfilling other administrative functions as needed within the department.

Essential Functions

• Communicate with other Allied departments to resolve claim and funding issues.
• Appeal the denials or reduction of reimbursements by the stop loss carrier.
• Communicate appropriately funding information and requirements to clients
• Assemble weekly or daily funding request information for clients
• Handle releasing payments to providers or taking action on certain payments
• Record bank transactions
• Process claims payments for various vendor fees
• Deposit checks received in the Funding Department
• Other duties as assigned
  
  

EDUCATION

• High School Diploma or GED required
  
  

Experience And Skills

• 1-2 years’ experience in a financial based role
• Intermediate level experience with MS Office Suite (Excel, Word, Outlook, PowerPoint).
• Functional knowledge and prior experience using MS Excel formulas required.
• MS Access background preferred.
• Prior experience in healthcare preferred.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Ability to multitask and handle varying assignments.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to function well in a high-paced and at times stressful environment.
  
  

POSITION COMPETENCIES

• Communication
• Customer Focus
• Accountability
• Functional/Technical Job Skills
  
  

PHYSICAL DEMANDS

• This is an office environment requiring extended sitting and computer work.
  
  

WORK ENVIRONMENT

• Remote
  
  

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.