Enrollment and Billing Specialist

Delta Dental Of Idaho•Boise, ID

1d•Hybrid

About The Position

Culture rules at Delta Dental. It's key to our becoming the leading dental benefits carrier in the state, reaching over 500,000 Idahoans with our dental plans and community outreach programs. We're small on ego and big on grins. You'll see us involved in community events and "Did you make someone smile today?" on our To-Do lists. Our employees have the opportunity to make a difference in people's lives while working in an environment full of challenge, collaboration, flexibility, and industry-leading growth potential. Join our team committed to better oral health for all Idahoans. The Enrollment and Billing Specialist performs a variety of general accounting and enrollment/eligibility duties including reconciling eligibility for select employer groups according to group contracts and underwriting guidelines, enrollment additions and changes, reconciling payment and billing for both groups and individuals, and providing excellent customer service. Essential Functions: Reconcile eligibility and enroll or terminate subscribers and dependents according to group contracts and underwriting guidelines and on the individual plan. Serve as a liaison with subscribers, groups, and agencies to answer eligibility, benefit, payment, electronic enrollment file and contract questions. Reconcile daily receipts and research variances. Apply receipts to outstanding invoices. Import electronic enrollment file and distribute discrepancy report to groups within designated timelines. Perform COBRA administration for designated groups according to federal regulations. Perform PERSI administration for designated groups according to state regulations. Perform project support functions for IT and Eligibility projects. Perform testing for IT changes. Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards. Other duties as assigned.

Requirements

High school diploma or equivalent.
Experience in bookkeeping, AP/AR, accounting, or a related field.
Competency in Microsoft Office – Word, Excel, and Outlook.
10-key data entry
Detail-oriented with the ability to understand benefits and contract provisions.
Strong written and verbal communication skills.
Strong time management skills with the ability to determine priorities and critical tasks.
Ability to maintain a highly responsive relationship with Customer Service, Sales, Underwriting, and Eligibility departments and clients.
Ability to represents and promote Delta Dental of Idaho services in a positive and professional manner at all times.
Sitting/Standing (alternatively) continuously
Keyboard Use/Repetitive Hand motion continuously
Skill/ability related to comprehension, organization, reasoning/decision-making and communication appropriate to position/level

Responsibilities

Reconcile eligibility and enroll or terminate subscribers and dependents according to group contracts and underwriting guidelines and on the individual plan.
Serve as a liaison with subscribers, groups, and agencies to answer eligibility, benefit, payment, electronic enrollment file and contract questions.
Reconcile daily receipts and research variances.
Apply receipts to outstanding invoices.
Import electronic enrollment file and distribute discrepancy report to groups within designated timelines.
Perform COBRA administration for designated groups according to federal regulations.
Perform PERSI administration for designated groups according to state regulations.
Perform project support functions for IT and Eligibility projects.
Perform testing for IT changes.
Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards.
Other duties as assigned.