Enrollment/Billing Senior Representative - Evernorth Health Services- Remote

Overview

This role supports the payer solutions operations billing team by providing billing and collections support for new and existing accounts. You will manage a book of TPA business and handle account reconciliation, special charge invoicing, payment and census research, refund requests, delinquency monitoring, and resolution.

The position is dual trained to support the cash team. Additional duties may include cash and census application, mailings, filing, electronic invoicing, and general administrative support.

The role may involve occasional remote work.

Responsibilities

• Manage an assigned portfolio of complex client accounts
• Perform tasks related to collections processes and procedures
• Research and respond to billing or payment inquiries within established turnaround times; escalate issues as needed
• Work with third party administrators, brokers, and/or clients to reconcile accounts receivable
• Facilitate conference calls or meetings with internal and external parties
• Conduct extensive research related to member eligibility and rate variances
• Analyze client data using various reports and resources
• Process group renewals, new business, terms and revisions
• Complete account reconciliation on a periodic basis
• Calculate and create special charge bills as needed
• Monitor delinquency reports and send communication to TPA partners
• Perform peer audit activities to ensure quality and mitigate financial risk or exposure
• Achieve or exceed daily goals, quality goals, and individual development goals
• Ensure appropriate use of tools to track and monitor the financial performance of customers
• Work with matrix partners to resolve customer disputes and rate issues
• Partner with matrix organizations to implement high potential process improvements
• Use accounting concepts to support billing and reconciliation work
• Prepare monthly and other requested ad hoc reporting
• Provide internal and external customer service
• Process, review, and understand multiple systems inputs
• Support special projects as needed
• Support electronic invoicing
• Apply financial payments to accounting systems
• Perform filing and other general administrative duties

Requirements

• High School Degree or equivalent is required; Bachelor’s degree preferred
• 3+ years work experience in billing, accounting, or collections role
• Proficient in 10 keys
• Strong knowledge of Excel
• Knowledge of MS applications
• Ability to demonstrate solid problem-solving skills
• Ability to manage time and prioritize appropriately
• Demonstrate responsiveness and a sense of urgency when dealing with internal and external clients
• Ability to multi-task and shift priorities
• Ability to work independently and proactively
• Strong verbal and written communication and organizational skills
• Demonstrate leadership and motivational skills in a fast-paced environment
• Strong interpersonal skills
• If working at home occasionally or permanently: internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

Preferred Qualifications

• Genasys, SAP, PCRS system knowledge, or ability to quickly learn new applications and systems

Compensation & Benefits

• Anticipated hourly rate: $20 - $30 USD / hour, depending on relevant factors including experience and geographic location
• Eligible to participate in an annual bonus plan
• Benefits include medical, vision, dental, and well-being and behavioral health programs (starting on day one)
• 401(k)
• Company paid life insurance
• Tuition reimbursement
• Minimum 18 days of paid time off per year
• Paid holidays
• Leaves of absence

Location

• Works at home occasionally or permanently (see internet requirement above)

Equal Opportunity

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

The organization maintains a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.