Company :United Concordia DentalJob 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.

This is a call center environment.

ESSENTIAL 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 inquiriesProcess 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 ORBachelor’s 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

Prior finance related experiencePrior healthcare industry experiencePrior Enrollment and Billing experience

LICENSES or CERTIFICATIONS

Required

None

Preferred

None

SKILLS

Strong financial aptitudeSolid customer service/phone skillsAttention to detailOrganizational skills10-key data entry with both quality and speedBasic accounting knowledge and ability to reconcile enrollment and/or payment informationProven ability to analyze and resolve problemsKnowledge of principles and processes for providing customer service, including customer needs assessment and meeting standards.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 (Other than English):

None

Travel Requirement:

0% - 25%

Required:

** Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen, and must also pass a background check **

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

WFA - Work From Anywhere

100% - Remote

Teaches / trains others regularly

Occasionally

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

Occasionally

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

Referral Level 1:

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 covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

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