We enjoy the important work we do every day on behalf of our members.
Job Summary
Client Funding is responsible for the accurately and timely invoicing of self-insured employer groups for all healthcare related costs, totaling an average of $30M each week, in accordance with TuftsHP Administrative Service Agreement. The process is highly visible due to the financial interaction with the ASO client segment. The position requires attention to detail, strong analytical and technical skills. This cross functional role interacts with and is responsible for responding to requests from internal operational departments, the sales team and TuftsHP largest external clients. Under the direction of the Manager, this position is also responsible for supporting complex funding arrangements including Advance Funding, Level Monthly Funding and Zero Dollar Funding. Responsibilities also include completion of ASO account reconciliations, accounts receivable processing, client funding reporting, and customer service.
Job Description
Responsible for coordinating the timely and accurate completion of multiple and complex Client Funding processes in accordance with the client's Administrative Service Agreement and corporate policies and procedures. This includes the weekly invoicing process, monitoring the status of Client funding and taking appropriate action for clients not funding on a timely basis.Work with IT and appropriate business owners to ensure all required funding information is received in a timely manner and promptly resolve any systems, reporting or claims payment issues.Includes coordinating all on-line banking for ASO Funding including weekly EFT transactions for all self-insured Claims and Trust bank accounts in accordance with ERISA requirements.
Responsible for the timely and accurate completion of all ASO Funding reporting.Includes the preparation and coordination of weekly and monthly client-specific funding reporting, Advance Funding and Level Funding reporting, and the development of ad hoc analytical reporting, both internal and external.Responsible for supporting required reporting enhancements in the Finance Funding Database (FFDB).
Responsible for the accurate and timely processing of weekly ASO Funding Accounts Receivables transactions and reconciliations.This includes the processing of all weekly AR batches and adjustments entered to Lawson, weekly review and resolution of the A/R aging.Includes the preparation of all reconciliations related to ASO Funding including daily cash flows for self-insured Claims and Trust accounts, weekly healthcare cost schedules, Level Funding and Advance Funding reconciliations, and quarterly Rx Rebate reconciliations.Assist with Monthly AR close and the resolution of all G/L reconciling items related to ASO Funding including Cash and A/R Clearing accounts.
Responsible for maintaining accurate ASO client account funding information.This includes new ASO client account set up and maintenance of ASO client information in FFDB.Responsible for the weekly processing of client funding in accordance with required or agreed upon exceptions that may include cost exemptions, special reporting and banking arrangements.Responsibilities include administration of client security deposits and termination/run out processes.
Provide Funding-related customer service to ASO clients.Respond to all ASO Client inquiries in a timely and accurate manner. Use independent judgement and appropriately collaborate with Manager on escalated requests.Includes the coordination of complete resolution of all funding-related inquiries by internal and external business partners.This includes the administration of major accounts including the GIC and USFHP.
Responsible for providing support for the implementation of new complex ASO funding arrangements, program changes, and corporate initiatives related to the ASO Funding process. This includes assisting with the documentation of business requirements, completion of required testing, and development of reporting.Requires participation in interdepartmental workgroups to ensure all funding-related financial reporting and operational requirements are met.
Perform other duties as required including participating in departmental projects, documentation of procedures, and providing support for audit requests.
