Business Analyst, PRCM

Position Summary:

Under the minimal direction of a Manager, the Business Analyst (BA) is a key member of the PFM account team. The BA works directly with the client to manage the client’s third-party prescription receivables in accordance with generally accepted accounting principles (GAAP). The Business Analyst performs account analysis, general ledger transactions and collection duties. Duties also include managing day-to-day client relationships, interacting with numerous internal and external parties, assisting with on-boarding of new clients, cross-training with other team members, developing and improving operating processes, monitoring system processes, recommending product enhancements and system testing.

Primary Accountabilities:

• Analytical:

• Analyzing unapplied cash categories to identify exceptions or unusual items
• Making general ledger adjustments to properly classify transactions
• Identifying transactions for rebilling
• Identifying transaction fees/contractual adjustments
• Researching adjustments made by third parties
• Resolving transaction posting discrepancies and file transmission issues
• Developing processes and procedures to maintain and monitor unapplied cash balances at acceptable levels
• Making recommendations for process improvements and product/service enhancements
• Preparing and analyzing weekly and monthly client reports in accordance with GAAP

• Administrative:

• Developing and testing rules for client data (pre-process functions)
• Establishing and maintaining client master file data, accounting calendars, payment association rules, payment application rules
• Assisting with the development, documentation, testing and analysis of new services
• Balancing to client lockbox(s), general ledger, and POS systems
• Maintaining tracking log for client requests/outstanding deliverables
• Assisting with preparation of client business review materials
• Drafting correspondence and procedural guidelines to instruct clients regarding Inmar’s processes, policies, and procedures.
• Maintaining HIPAA (Health Insurance Portability and Accountability Act) compliance in all client communication.
• Entering Salesforce cases for client inquires
• Informing team members and management on client cases, successes, and current inquiries
• Assisting client auditors in understanding Inmar’s reconciliation system and reports

• Influence:

• Serving as the primary point of contact for client inquiries regarding cash and claims posting
• Training clients on Inmar’s reconciliation system
• Discussing operational issues with clients and making recommendations for products and services to meet Client needs
• Assisting clients with interpreting information
• Recommending and implementing best practices for transaction processing such as business rules, tolerance settings, transaction tagging

• Perform special projects and other duties as assigned by management

Required Qualifications:

• At least four years of relevant experience involving customer service, computer usage, data entry and data analysis and a Bachelors’ degree in Business Administration, Accounting, or a related field; OR an equivalent combination of training and experience required to complete the essential functions/job responsibilities of the position
• Knowledge of generally accepted accounting principles
• Knowledge of accounting procedures on automated systems
• Intermediate-level proficiency using MS Excel and MS Word
• Knowledge of computer systems and report generation (AS/400 knowledge preferred)
• Knowledge of servicing business accounts

Individual Competencies:

• Adaptable: Responds to change with a willingness to learn new ways to accomplish work.
• Teamwork: Builds relationships and works cooperatively with others, inside and outside the organization, to accomplish objectives to build and maintain mutually beneficial partnerships, leverage information and achieve results.
• Analytical and Critical Thinking: Ability to tackle a problem by using a logical, systematic, sequential approach.
• Communication: Giving and receiving messages and information in written, oral, and visual formats in a clear and concise way for a complete understanding of meaning and intent.
• Curious: A desire to inquire and learn, to seek new knowledge and wisdom, and to listen to the contributions of others with a genuine interest to better self, the team, and the organization.
• Problem Solving: Gathers and analyzes information to generate and evaluate solutions to problems, issues and challe