TRHC H-Logo

Claims Management - Accounting Manager

St. Louis, MO, USA Req #598
Thursday, September 9, 2021

Our goals are to provide excellent service, utilize advanced technology, and proficiently deliver results. To accomplish these goals, we constantly seek individuals who look for ways to do things better. We are a company whose culture cultivates teamwork, rewards excellence, focuses on quality for every aspect of our business, and promotes community involvement.
 

Tabula Rasa HealthCare (TRHC) is a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize performance to improve patient outcomes, reduce hospitalizations, lower healthcare costs, and manage risk. Medication risk management is TRHC’s lead offering, and its cloud-based software applications, including EireneRx® and MedWise™, provide solutions for a range of payers, providers and other healthcare organizations.

 

TRHC empowers our employees to provide excellent service, utilize advanced technology, and proficiently deliver results. Our 32Fundamentals are what we are and who we are.  Our culture cultivates teamwork, rewards excellence, focuses on quality for every aspect of our business, and promotes community involvement. As a part of our team, you will help us bring innovative service models to healthcare, improving patient outcomes.

Peak TPA (Peak), a Tabula Rasa HealthCare company, helps PACE organizations manage the business functions that drive the major sources of reimbursement revenue and utilization costs. Peak provides services that optimize financial management and fulfill regulatory requirements for health plan functions. Peak is committed to the PACE model of care and thus to the success of the sponsoring organizations.

 

Job Description:             Accounting Manager

 

Summary: Under the supervision of the Director of Plan Analytics, the Accounting Manager ensures all monthly reporting is submitted to clients in a timely and accurate manner. This role provides oversite for all daily accounting activities and also ensures that processes and procedures are properly documented and revised, and that all departmental functions are performed in compliance with SOC requirements. The Accounting Manager communicates with clients on a frequent basis and ensures client overall satisfaction with the department.  

 

Essential Functions:

 

Review month-end reporting created by accounting staff for accuracy and timeliness of completion, ensuring client deadlines are met

Review and perform accounting functions including A/R aging, A/P aging, Revenue Journal Entries, Claims Paid Journal Entries and IBNR (accruals)
Oversee the daily check-printing process for 80+ clients
Manage a team of 11+ team members  

Identify areas of process improvement

Document and revise accounting processes and procedures

Ensure compliance with SOC requirements within the department

Manage year-end 1099 submissions to third-party vendor

Attend client calls to address questions/issues and to advise of process changes

Reconcile bank accounts

Provide direct reports with timely and constructive performance feedback

Ensure all direct reports are fully informed of operational objectives

Conduct regular meetings with direct reports to communicate priorities and coordination of activities

Support company-wide performance planning, coaching, appraisal and discipline programs to ensure consistent, fair, and transparent implementation and compliance with company policies and procedures.

 

Additional Functions:

 

Other projects as assigned

Communicates clearly and concisely, with sensitivity to the needs of others

Maintains courteous, helpful and professional behavior on the job; displays a willingness and ability to be responsive in a warm and caring manner to all customer groups; consistently cooperates and supports organization in problem solving issues; ensures customer satisfaction; will support the success of the entire team; establishes and maintains effective working relationships with co-workers

Follows all Policies and Procedures and HIPAA regulations

Maintains a safe working environment

Maintains the confidentiality of all company procedures, results, and information about participants, clients, providers and employees

Establishes and maintains effective working relationships with co-workers

 

Supervisory Responsibility: Sr. Accounting Assistants, Accountant and Payment & Receivables Specialists

 

Travel: None

 

FLSA Status: Exempt

 

Knowledge, Skills and Abilities:

Education- Bachelor’s Degree in Accounting strongly preferred. May consider significant experience in a similar role in lieu of education.  

Minimum of two years in a similar Management role providing people leadership and maintain a cohesive team.

Prior TPA, Health Care or Managed Care experience strongly preferred

Knowledge and experience with GAAP.

Intermediate to Advanced Excel skills, including recent use of pivot tables and formulas

Experience adhering to SOC requirements.

Willingness and ability to apply the TRHC 32 Fundamentals in a leadership role     

Ability to set and meet high standards of service to develop a work force that embraces a culture of quality and service

Personal integrity and exemplary ethical standards

 

Physical Demands & Requirements:

Communicate by way of the telephone with participants, customers, vendors and staff

Operate a computer and other office productivity machinery, such as a calculator, copy machine, fax machine and office printer

Remain stationary for extended periods of time

Occasionally exert up to 20 pounds of force to lift, carry, push, pull or move objects

Visual acuity to perform activities such as identifying, inputting and analyzing data on a computer terminal and/or in hard copy

Occasional reaching to retrieve shelved items

Occasional bending/stooping

 

Work Environment:

 This job operates in a professional or home office environment with a conversational noise level. 

  No substantial exposure to adverse environmental conditions is expected

 Moderate pressure to meet scheduled appointments and deadlines                       
Potential for occasional verbal aggression by clients and vendors

 

The Company is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to ancestry or national origin, race or color, religion or creed, age, disability, AIDS/HIV, gender, marital or family status, pregnancy, childbirth or related medical conditions, genetic information, military service, protected caregiver obligations, sexual orientation, protected financial status or other classification protected by applicable law.

Other details

  • Pay Type Salary
  • Travel Required No
  • Required Education Bachelor’s Degree
  • St. Louis, MO, USA