CareFirst–Senior Funds Specialist



Location: FAIRFAX, VIRGINIA                                            Career Band:  BAND A

Job ID #: 8363


PRINCIPAL ACCOUNTABILITIES: Under the general supervision of the Supervisor of TPA Finance, the incumbent’s accountabilities include but are not limited to: •Performs client funding administration to ensure claims are funded accurately and customer’s financial needs are being met.  Adapts to changing customer needs and proposes solutions to complex problems that may arise.   Designs and implements new processes and procedures as necessary. •Reconciles monthly funding accounts and monthly bank reconciliations, researches errors, and compiles necessary documents in order to provide accurate financial information to the clients. Maintains, updates and reconciles funding records to ensure that the bank balances are accurately reflected in the financial systems. •Complete flex work orders as needed and assist in the tracking of reinsurance claims.  Responsible for processing the daily check status requests.       •Acts as banking liaison for the company to set up and maintain client banking in order to ensure accurate and timely client funding. •Performs miscellaneous duties as required in order to facilitate the functioning of the department. QUALIFICATION REQUIREMENTS:

Required:  A BA Degree or equivalent experience and at least 3- 5 years experience in (one or a combination of) Bookkeeping, Claims Auditing or Healthcare Operations.  Proficient in Microsoft Excel/Word.  A high school diploma or equivalent. Abilities/Skills: Abilities include being customer focused, detail oriented, strong follow-up, time management and problem solving skills are essential. Additionally, position requires demonstrated strong organizational and interpersonal skills. Position also requires analytical skills, strong communication skills, PC spreadsheet skills, and the ability to independently apply theories, principles, concepts, and practices to difficult problems and make daily decisions concerning the proper course of action. Preferred:  Bachelors Degree.


Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to perform the essential duties and responsibilities of the position successfully.  Requirements may be modified to accommodate individuals with disabilities. The employee is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The employee must frequently talk and hear.  Weights of up to 25 pounds are occasionally lifted.  Travel among TPA sites may be required.


Department:  Finance, Enrollment & Funding

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Must be eligible to work in the U.S. without Sponsorship

Please apply before: March 31, 2016

Actual salary will be based on relevant job experience and work history.



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