Western Growers Health─a part of Western Growers Family of Companies─provides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry.

Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today!

Compensation: $53,667.86 - $74,768.32 with a rich benefits package that includes profit-sharing. This is a remote position and can reside anywhere in the U.S.
    

JOB DESCRIPTION SUMMARY

This position reports to the Senior Supervisor, Administration Finance and requires the ability to process financial transactions, both automated and manual, within the company’s processing systems, including group and individual billing, Automated Clearing House (ACH) transactions, and cash receipt processing. Maintain and balance group and individual accounts receivables including delinquency processing and terminations. Manage receipt of group admin fees and process vendor payments. Invoice for third party administrator (TPA) Claims processing and manage receipt and application of claims funding.

Qualifications

• BA/BS degree in accounting, finance, or business-related field and three (3) to five (5) years of experience working in a related field or equivalent combination of education and experience preferred.
• Skills to establish priorities, multi-task, work under pressure and deadlines, work independently with minimal supervision or in team environment.             
• Proficient in Microsoft applications, including intermediate skills in Excel, Word, and Outlook.
• Experienced in performing customer account reconciliations, including research, and resolving discrepancies with minimal supervision.
• Excellent written and oral communication skills, to include modern business communications, formatting professional letters, reports, and phone etiquette.
• Customer service oriented.
• Ability to analyze and resolve technical problems and/or client inquiries as they arise.
• Knowledge of generally accepted Health Care Eligibility and Billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), Cal-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income Security Act (ERISA) regulations.
• Knowledge of health insurance industry.
• Ability to work overtime as requested by management and based upon department needs and compliance.
• Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
• Home router with wired Ethernet (wireless connections and hotspots are not permitted).
• A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
• A functioning smoke detector, fire extinguisher, and first aid kit on site.

Duties And Responsibilities

Customer Account Management & Maintenance

• Maintain/manage all Pinnacle Claims Management, Inc. (PCMI) contribution/premium reimbursements, COBRA/Retiree reimbursements, and vendor pass thru payments for PCMI.  
• Verify and authorize the release of PCMI vendor payment within four business days of account funding.
• Manage the process of funding and releasing self-funded claims payments.
• Reconcile and maintain accuracy of group ledger accounts by matching incoming payments to corresponding invoices, promptly investigating and resolving discrepancies, collaborating with internal teams and external partners to make adjustments, and maintaining thorough documentation to support audit trails. 
• Monitor bank accounts daily for returned items, overdrafts, positive pay exceptions, stop payments and other exception reporting and make decision for resolution or escalation. Month End Financials completed and delivered to Accounting by the fifth (5th) business day of the month.
• Assist with Mid-Month cash application audit that must be completed by the 15th business day of the month.
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