Enrollment and Billing Analyst

UHS • Reno, NV

7h

About The Position

The Enrollment & Billing Analyst for Membership Enrollment and Premium Billing plays a crucial role in supporting the functions of Prominence Health. This position is dedicated to ensuring accuracy and compliance in premium billing, enrollment processes, and financial reporting. The analyst will collaborate with various stakeholders, perform audits, and contribute to the improvement of processes. This role requires a detail-oriented professional with expertise in financial transactions, data analysis, and enrollment processes.

Requirements

• High school diploma or equivalent required.
• 1 to 3 years’ experience.
• Basic knowledge of Medicare regulations.
• Experience in Managed Care Enrollment (MA, MAPD and PDP).
• Ability to effectively communicate in English, both verbally and in writing.
• Previous experience reviewing and analyzing statistical data to identify trends as well as potential problems/opportunities for improved service quality.
• Experience in computer operations including troubleshooting experience.
• Ability to analyze statistical data and recognize problems or potential problems and take appropriate steps to resolve the problem.
• Self-starter with the ability to recognize priorities and manage workload accordingly.

Nice To Haves

• Associates degree preferred.
• Previous experience processing Medicare Advantage enrollment applications and generating letters preferred.
• Experience working with CMS contracted vendors and systems, such as Retroactive Processing Contractor (RPC), Wipro, MARx, etc. is preferred.
• Electronic data interchange experience.

Responsibilities

• Ensuring accuracy and compliance in premium billing, enrollment processes, and financial reporting.
• Collaborating with various stakeholders.
• Performing audits.
• Contributing to the improvement of processes.

Benefits

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED