Enrollment & Billing Representative

Company :United Concordia DentalJob Description :JOB SUMMARYThis 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 RESPONSIBILITIESCommunicate 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.EDUCATIONRequiredHigh school diploma / GEDSubstitutionsNonePreferredAssociates Degree in Business or a related field ORBachelor's Degree in Business or a related fieldEXPERIENCERequired3 years of related, progressive experience (exempted experience requirements effective August 2016)Experience using Microsoft Office ApplicationsExperience in Billing/Enrollment and/or Customer ServicePreferredPrior finance related experiencePrior healthcare industry experiencePrior Enrollment and Billing experienceLICENSES or CERTIFICATIONSRequiredNonePreferredNoneSKILLSStrong 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):NoneTravel 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 CONDITIONSPosition TypeWFA - Work From Anywhere100% - RemoteTeaches / trains others regularlyOccasionallyTravel regularly from the office to various work sites or from site-to-siteOccasionallyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsOccasionallyLifting: 25 to 50 poundsNeverReferral 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 pliance 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.EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.For accommodation requests, please contact HR Services Online at Consumer Privacy Act Employees, Contractors, and Applicants Notice

Created: 2024-10-19