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Federal Hearings and Appeals Services

Accounting Clerk II

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Description

The Accounting Clerk II performs intermediate-level accounting duties related to Independent Dispute Resolution (IDR) under the No Surprises Act. This role independently manages IDR financial workflows, performs reconciliations, resolves discrepancies, supports Finance Supervisor, compliance and reporting requirements.

Essential Duties and Responsibilities

  • Independently track, record, and reconcile IDR payments, fees, and settlements
  • Review IDR determinations and ensure accurate posting to patient accounts and the general ledger
  • Research and resolve payment discrepancies with payers and internal departments
  • Monitor IDR timelines and compliance requirements and escalate issues as appropriate
  • Prepare !DR-related financial reports for management and compliance review
  • Assist with internal and external audits related to IDR activity
  • Recommend process improvements to enhance accuracy and efficiency
  • Maintain working knowledge of No Surprises Act and IDR regulatory updates

Required Qualifications

  • High school diploma or equivalent required; Associate's degree in Accounting, Finance, or related field preferred
  • 2-4 years of accounting, billing, or healthcare finance experience
  • Working knowledge of healthcare reimbursement and revenue cycle processes
  • Strong Excel skills and experience with accounting systems
  • Ability to manage multiple priorities and deadlines independently

Skills and Competencies

  • Strong analytical and problem-solving skills
  • Effective written and verbal communication skills
  • Dependable, accurate, and detail-oriented






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