About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Job
The Revenue Accountant will be reporting to the Manager of Revenue Accounting at Corporate headquarters in the preparation of journal entries related to the revenue streams. Also, this role will be supporting the missions and values of the Company along with the goals and the direction of the Finance & Accounting Department.
You Will
Prepares journal entries related to the three main streams of revenue: Centers of Medicare and Medicaid Services (CMS), California Department of Healthcare Services (DHCS) and Premium Billing Revenue.
Reviews month end Risk Score accruals for discrepancies and resolve and then prepare month end entries for the Mid-Year and Final Risk Score revenue accruals.
Prepares post settlement reconciliation of risk score accruals.
Records month end membership cubes and resolve discrepancies and prepare month end journal entries and month end membership reports.
Responsible for Revenue recovery for special populations: ESRD (End Stage Renal Dialysis), MSP (Medicare as Secondary Payer) and Hospice.
Verifies accuracy of Premium Billing GL Extracts( Invoicing, payment posting, retro adjustments and Accounts Receivable Aging) for Individual and Employer Group Members including Social Security, LIS and LEP members.
Serves as back-up for Pharmacy Accounting- recording of Pharmacy Claims, Rebates, Part D Settlements (CDGP Processing/entries, Pass-thru costs, etc.). Provides reconciliation schedules to auditors for our annual CMS 1/3 audits.
Reviews additional journal entries to ensure accuracy, as directed.
Responsible for preparing monthly revenue analysis by compiling information and comparing actuals to budget & forecast, on total dollars as well as on a per member per month basis, and on a rate/volume basis. Reconciles discrepancies, as needed.
Responsible for analyzing the balance sheet, income statement and cash flow statements to determine the impact of monthly revenue. Recommends appropriate action based upon analysis.
Builds queries, analysis tools and models to assist Finance and Accounting leadership to analyze financial results.
Partners with others within Finance and Accounting, along with other departments, to help resolve cross departmental issues related to Revenue.
Identifies control and/or process inefficiencies and proposes enhancements to the current process striving for continuous improvement.
Conducts ad-hoc analysis and special project, as needed.
Maintains professional and technical knowledge by conducting research and by attending educational and technological workshops. This position requires contributions to team effort by accomplishing and sharing related results with other staff.
Contributes to team effort by accomplishing related results, as needed.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.
Your Qualifications
Covid-19 Vaccination Policy
To ensure a healthy and safe work environment, if you are selected for this position, your job offer with SCAN Health will be contingent upon being fully vaccinated and providing proof of your COVID-19 vaccine within 3 days after your start date. Generally, you are considered fully vaccinated 14 days after receiving the last dose, as recommended by the manufacturer, of a vaccine that has been authorized by the FDA for use in the United States, including vaccinations that have been approved pursuant to an Emergency Use Authorization. If fully vaccinated outside of the United States, the vaccination must be listed for emergency use by the World Health Organization (WHO). If you cannot receive the vaccine because of a disability/medical reason or sincerely-held religious belief, you may request an accommodation to this requirement by contacting COVID-19 Vaccination Policy. Learn more about the COVID-19 vaccination here – https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html
What’s in it for you?
We’re always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
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