Billing Analyst

Delta Dental•Camp Hill, PA

6h•$45,400 - $95,000

About The Position

This position uses a broad knowledge of multiple business areas (Enrollment, Accounts Receivable, Configuration, Onboarding) to track and perform premium reconciliations for payment received against invoice amount billed within complex or escalated accounts. This position is also responsible for analyzing premium back-up, resolving outstanding balances. and overall account resolution while delivering superior, consultative customer service for a wide variety of clients. The Analyst also serves as a mentor and SME to other team members in resolving complex or escalated issues, and develops and continually assesses work processes at a higher overall trend level to identify opportunities to automate, perform process improvements and minimize errors.

Requirements

2+ w/Bachelor’s degree
4+ years experience in related role preferred.
Positive documented experience with high profile, sensitive clients required.
Ability to work independently under minimum supervision
Strong organizational/time management skills and multi-tasking abilities
Detail-oriented with strong analytical and problem-solving skills
Ability to develop, implement and maintain analytical tools and reports
Effectively able to adapt to change and be comfortable handling risk and uncertainty
Excellent customer service skills; Customer-focused with ability to empathize with customer
PC literacy required; MSOffice skills (Outlook, Word, Excel, PowerPoint)

Responsibilities

Ensures accurate billing for all cycles (weekly, biweekly, monthly billing, etc.) including creation and processing Statement of Accounts (SOA) and Stabilization of Claims utilization; Performs comparison analysis before invoices release to client and resolves identified discrepancies
Provides guidance to internal and external customers on various items related to billing and reconciliation, including configuration, retroactive policy, and impacts.
When errors occur, provides feedback and recommendations to management for resolution.
Primarily responsible for special handling or complex accounts
Reviews transaction discrepancies (TRX Compare/Revenue Analysis); Creates custom reporting and claims validation for accounts and works with AR team to determine journal entry accruals
Prepares ACH Debit reports; Performs quality assurance of reports and analyzes and resolves exceptions as needed
Performs all manner of reconciliations, reclass and refunds in Oracle and ad-hoc (manual) as needed, with a focus on more complex or specialty clients; Reviews detailed payment backup analysis for discrepancies using Bump & Compare/Vlookup
Analyzes group remittance and provides guidance to AR for accurate payment application;
Prepares documentation for internal and external stakeholders as needed and reviews dunning letters for propriety before sending to client
Communicates with clients via phone or email and takes timely action with client balances; Reviews backup and provides feedback regarding Aging balances
Prepares Escalations, documenting timelines, actions taken and summarization of issue for Senior leadership to review
Acts as primary trainer, mentor and subject matter expert (SME) to the team; Performs regular review of desk level procedures and training documents and acts as a first level reviewer for escalations or periodic work reviews
Assists with production issues as well as testing and validation for system updates, including but not limited to analysis of system requirements, User Interface (UI) and Customer Experience trending analysis for purposes of process improvement