Customer Billing Analyst

Highmark Health • Washington, DC

1d • Onsite

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. The client population will include a portfolio of higher volume and more complex structure and reporting. Provides guidance and mentoring to other analyst's with less experience. The incumbent 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 (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).

Requirements

• 3 years of relevant 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.)
• Follow all HIPAA and HITECH guidelines pertaining to Protected Health Information (PHI).

Nice To Haves

• Bachelor's degree
• None

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.
• Propose automation solutions to manual tasks and make recommendations to enhance efficiency around current processes.
• Providing guidance and mentoring to other analyst's with less experience.
• Responsible for daily interaction with sales personnel.
• Able to work independently to respond and resolve inquiries from internal and external customers, brokers, agents or consultants.
• Create custom ad hoc reporting ensuring accuracy, 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.
• 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: Mid Level
• Education Level: High school or GED