Full-Time

Financial Operations Analyst

Billing Analyst

Posted on 7/29/2024

Centivo

Centivo

201-500 employees

Affordable health insurance with primary care focus

Financial Services
Healthcare

Compensation Overview

$45k - $54kAnnually

+ Bonus + Health Benefits + PTO + Equity Option Grants

Mid

Buffalo, NY, USA

This role is based in our Buffalo, NY office.

Category
Financial Planning and Analysis (FP&A)
Finance & Banking
Required Skills
Communications
Excel/Numbers/Sheets
Requirements
  • 2+ years of experience in similar role
  • High school diploma or GED required, Associate's or Bachelor's degree preferred
  • Experience working with highly automated and integrated claim adjudication system required, El Dorado-Javelina preferred
  • Intermediate Microsoft excel experience (pivot tables, VLOOKUP)
  • Familiarity with other Microsoft programs including Word, Teams, Outlook
  • Ability to prioritize and organize own work to meet deadlines
  • Strong customer service skills and attention to detail
  • Strong communication skills, working in a fast-paced environment
  • Strong interpersonal skills, establishing rapport and working well with others
Responsibilities
  • Initiate ACH payments and account transfers in JPMC online banking
  • Monitor client bank accounts using balance tracking spreadsheets, weekly check registers and JPMC transaction reports
  • Log and scan all provider refund checks received in office, and send tasks to the claims department for refunds to be processed in the claims system
  • Monitor ACH refunds received from Zelis, and send corresponding reports to the claims department for refunds to be processed in the claims system
  • Issue check payments in the claims system. Collect checks and mail to various vendors.
  • Manage pharmacy claim invoices received from various vendors
  • Release payments and EOBs to providers in the Zelis payment portals
  • Monitor claims in PAY queue and investigate any that have been stuck in PAY longer than 7 days

Centivo provides health insurance focused on making healthcare affordable and accessible. The company operates by offering free primary care, no deductibles, and low, predictable copays, which helps keep members healthier and reduces the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's service is its integrated virtual care, allowing members to access healthcare conveniently. The company emphasizes quality by curating providers based on strict price and quality standards, particularly in primary care, and has been recognized for its commitment to lowering costs.

Company Stage

Late Stage VC

Total Funding

$183.7M

Headquarters

Buffalo, New York

Founded

2017

Growth & Insights
Headcount

6 month growth

-2%

1 year growth

-3%

2 year growth

-3%
Simplify Jobs

Simplify's Take

What believers are saying

  • Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.
  • Acquisition of Eden Health enhances Centivo's virtual care and mental health services.
  • Growing trend of virtual care aligns with Centivo's integrated virtual care service.

What critics are saying

  • Integration challenges with Eden Health may disrupt service delivery if not managed well.
  • Chronic shortages in primary care access could impact Centivo's care delivery model.
  • Increased competition from AI-driven startups may challenge Centivo's market position.

What makes Centivo unique

  • Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.
  • The company offers free primary care, no deductibles, and low, predictable copays.
  • Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

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Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

INACTIVE