Associate Customer Billing Analyst

Highmark Health

4d • $21 - $30

About The Position

This job is responsible for the claims invoicing and accounts receivable activities for the non-risk self-insured population of clients supporting all medical, buy-up, shared savings, drug, branded and non-branded dental, and spending account products. This job will create and maintain customer accounts by auditing all changes in the system that will impact the billing and/or accounts receivable activity for the self-funded customer base; review and analyze weekly management/trending reports; run basic (SQL) queries based on customer specific needs; reconcile and analyze payment activity for self-billed administrative clients to ensure compliance with audit thresholds; must be able to interact well with a cross-functional set of internal stakeholders (Sales, Information Technology, Management, Finance/Accounting, Underwriting) as well as external stakeholders; must be able to work in a fast-paced environment with daily work processing deadlines; and follow all HIPAA and HITECH guidelines pertaining to Protected Health Information (PHI). EDUCATION Perform billing, A/R and reporting functions to support self funded customers including; ensure timeliness and accuracy of invoices using reasonableness and/or comparative assessments and judgment for a specific customer portfolio, utilize trending reports to validate completeness and data integrity associated to the invoice and A/R cycle; ensure all rate discrepancies, self billed administrative, and payment allocation reconciliations are prepared, finalized and executed in a timely manner to support the weekly billing cycle; monitor customer receivables and coordinate collection efforts; maintain customer profiles, create and maintain electronic user access. Responsible for daily interaction with sales personnel. Respond to and resolve inquiries from internal and external customers, brokers, agents or consultants. Create custom ad hoc reporting, upon varying intervals, to support client or sales specific inquiries; manage system and ad hoc reports that include proprietary, confidential and Protected Health Information while maintaining all compliance requirements. May be required to participate in special projects or activities identified by management. Other duties as assigned.

Requirements

• High School Diploma/GED
• 1 year subject matter experience in the area of specialization
• Must interact well with a cross-functional group of internal and external stakeholders such as; Sales, System Support, Management, Finance/Accounting, Underwriting and Clients
• Must be able to work in a fast-paced environment with daily work processing deadlines
• Demonstrate personal accountability
• Ability to develop specific skills and knowledge of a billing and/or AR subject matter expert
• Ability to think strategically and act proactively under pressure independently and as a part of a team
• Strong innovative problem-solving capabilities
• Proficiency with Microsoft Office products (i.e. Word, Excel, Powerpoint, Outlook etc.)
• Language Requirement: None
• Travel Requirement: 0% - 25%

Nice To Haves

• Bachelor's degree

Responsibilities

• Perform billing, A/R and reporting functions to support self funded customers including; ensure timeliness and accuracy of invoices using reasonableness and/or comparative assessments and judgment for a specific customer portfolio, utilize trending reports to validate completeness and data integrity associated to the invoice and A/R cycle
• Ensure all rate discrepancies, self billed administrative, and payment allocation reconciliations are prepared, finalized and executed in a timely manner to support the weekly billing cycle
• Monitor customer receivables and coordinate collection efforts
• Maintain customer profiles, create and maintain electronic user access
• Responsible for daily interaction with sales personnel
• Respond to and resolve inquiries from internal and external customers, brokers, agents or consultants
• Create custom ad hoc reporting, upon varying intervals, to support client or sales specific inquiries; manage system and ad hoc reports that include proprietary, confidential and Protected Health Information while maintaining all compliance requirements
• May be required to participate in special projects or activities identified by management
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees