Reconciliation Representative (Temporary)

Minneapolis, Minnesota
Oct 12, 2017
Nov 04, 2017
Employment Status
Full Time

Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.



At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.


Working at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do.


Position Description

Responsible for the accurate and timely processing of the Billing department functions for our UCare for Senior - UCare's Medicare Risk product, Senior Select and UCare Choices/Fairview Choices - UCare's Exchange product. Which includes but is not limited to member premium payment application, member refunds and member premium returns across all products.  Review and entry of all EFT forms, changes and terminations and analyzing the EFT and termed aging.

·Maintain a production and quality level of 99% or better in performing Billing cash functions and a quality level of 95% or better in performing all other Billing functions.

·Process member premium payments in UCare's core operating system and post to members account in an accurate and timely manner, within 72 hours of the bank processing the payment.  Perform a daily reconciliation of the premium payments that were posted to members' accounts.  Process all member refunds in UCare's core operating system.  Reconcile all returned items that are received from the bank; making all necessary changes to the members account in UCare's core operating system.

·Process member EFT (Electronic Funds Transfer) request, including mailing of EFT application, mailing of member EFT start-up letters, entry of application into UCare's core operating system, entry of changes to account information, termination of EFT.  Post EFT payments in UCare's core operating system to members account in an accurate and timely manner.

·Research and process the EFT members aging and terminated member aging.  Includes verification of outstanding balance, adjusting EFT pull (credit), creating outstanding EFT balance (debit) letters, requesting member refunds as needed and writing off bad debt balances as identified for terminated members each month.  Validate the monthly EFT file before submission to UCares financial institution (Wells Fargo); validate members monthly premium, validate members premium balance and validate member is active with UCare.

·Create and mail retro LICS co-pay letters to our members.  Ensuring any payments recouped are not applied to the members premium payments.

·Create and mail/email our Group Billed Group invoices as required based on our group contract.

·Monitor and track newborns enrolled in UCare's core operating system.  Includes verification of payment from DHS, communication with counties and/or DHS validating information received, working with Enrollment to ensure the core operating system divisions are changed once payment is received, verification that newborn is terminated if payments not received.

·Create and maintain clear step by step processes for each function. 

·Support the reconciliation of all CMS payments.  Assisting with the reconciliation process as needed.

·Support cash application clean up across all lines of business

·Maintain an understanding of UCare's core operating computer system and a comprehensive knowledge of the Enrollment Subsystem and the Billing Subsystem as it relates to the Billing and Reconciliation Procedures.

·Maintain an understanding and apply the requirements in CMS/DHS regulations and the model CMS audit guide as it relates to the components of payments received from CMS for MSHO product.

·Assist in the departmental reporting functions from Membership Billing and Enrollment to other departments within UCare, as needed.

·Other projects and duties as assigned. 


Two year degree or certificate in Business or Accounting preferred; equivalent experience will be considered in lieu of degree.

Required Experience

Two years of experience with accounts receivable processing, accounting journal entries and reconciliation.  Experience with data entry and accounting/billing principles.

Preferred Experience

Two to four years related billing experience within a health care environment.


UCare is proud to be a recognized Star Tribune Top Workplace for the 8th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.



Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers. At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.