Job Details

Overview

Company : United Concordia Dental

Job Description : JOB SUMMARY

This job is responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases.

Responsibilities

• Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries
• Process and maintain membership data. Manage multiple production oriented tasks and responsibilities.
• Perform various billing, accounts receivable, and reconciliation activities.
• Create and distribute membership/billing materials and communications to clients/members.
• Ensures acceptable service levels, metrics, and/or other performance guarantees are met.
• Conduct research to ensure issue resolution.
• Other duties as assigned or requested.

Education

• Required High school diploma / GED

Substitutions

• None

Preferred

• Associates Degree in Business or a related field OR
• Bachelors Degree in Business or a related field

Experience

• Required 3 years of related, progressive experience (exempted experience requirements effective August 2016)
• Experience using Microsoft Office Applications
• Experience in Billing/Enrollment and/or Customer Service

Preferred Experience

• Prior finance related experience
• Prior healthcare industry experience
• Prior Enrollment and Billing experience

Licenses or Certifications

• Required None

Skills

• Strong financial aptitude
• Solid customer service/phone skills
• Attention to detail
• Organizational skills
• 10-key data entry with both quality and speed
• Basic accounting knowledge and ability to reconcile enrollment and/or payment information
• Proven ability to analyze and resolve problems
• Knowledge of principles and processes for providing customer service
• Ability to handle many tasks simultaneously and respond to customers and their issues promptly and professionally
• Ability to take direction and to navigate through multiple systems simultaneously
• Ability to maintain composure under stressful and fast-paced conditions

Language

None

Travel Requirement

0% - 25%

Physical, Mental Demands and Working Conditions

Position Type: Remote

Teaches / trains others regularly: Occasional

Travel regularly from the office to various work sites or from site-to-site: Occasional

Works primarily out-of-the office selling products/services (sales employees): Never

Physical work site required: Yes

Lifting: up to 10 pounds Constantly

Lifting: 10 to 25 pounds Occasionally

Lifting: 25 to 50 pounds Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to confidential information and must protect it at all times. All employees must comply with HIPAA and the companys Privacy Policies and Information Security Policy, as described in the company handbook.

Furthermore, it is every employees responsibility to comply with the companys Code of Business Conduct and applicable laws, rules, and regulations.

Pay

Pay Range Minimum: $19.27

Pay Range Maximum: $27.42

Note: Base pay is determined by qualifications, experience, and other factors. This range may reflect geographic considerations and internal equity.

Discrimination policy: Highmark Health and its affiliates prohibit discrimination against qualified individuals based on protected status and other categories as required by law.

Accessibility: We strive to make this site accessible to all users. For accessibility assistance, contact HR Services Online at ...@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J275360