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Performs complex billing, premium reconciliations, payment and invoice analysis, account resolution, refunds, reclassifications, ACH reporting, and discrepancy investigation. Provides client support, prepares reports and escalations, mentors team members, reviews procedures, and supports system testing and process improvements. Collaborates with accounts receivable and other business teams to resolve balances, validate transactions, and improve billing accuracy.
This position uses a broad knowledge of multiple business areas (Enrollment, Accounts Receivable, Configuration, Onboarding) to track and perform premium reconciliations for payment received against invoice amount billed within complex or escalated accounts. This position is also responsible for analyzing premium back-up, resolving outstanding balances. and overall account resolution while delivering superior, consultative customer service for a wide variety of clients. The Analyst also serves as a mentor and SME to other team members in resolving complex or escalated issues, and develops and continually assesses work processes at a higher overall trend level to identify opportunities to automate, perform process improvements and minimize errors.
ResponsibilitiesEnsures accurate billing for all cycles (weekly, biweekly, monthly billing, etc.) including creation and processing Statement of Accounts (SOA) and Stabilization of Claims utilization; Performs comparison analysis before invoices release to client and resolves identified discrepancies Provides guidance to internal and external customers on various items related to billing and reconciliation, including configuration, retroactive policy, and impacts. When errors occur, provides feedback and recommendations to management for resolution. Primarily responsible for special handling or complex accounts Reviews transaction discrepancies (TRX Compare/Revenue Analysis); Creates custom reporting and claims validation for accounts and works with AR team to determine journal entry accruals Prepares ACH Debit reports; Performs quality assurance of reports and analyzes and resolves exceptions as needed Performs all manner of reconciliations, reclass and refunds in Oracle and ad-hoc (manual) as needed, with a focus on more complex or specialty clients; Reviews detailed payment backup analysis for discrepancies using Bump & Compare/Vlookup Analyzes group remittance and provides guidance to AR for accurate payment application; Prepares documentation for internal and external stakeholders as needed and reviews dunning letters for propriety before sending to client Communicates with clients via phone or email and takes timely action with client balances; Reviews backup and provides feedback regarding Aging balances Prepares Escalations, documenting timelines, actions taken and summarization of issue for Senior leadership to review Acts as primary trainer, mentor and subject matter expert (SME) to the team; Performs regular review of desk level procedures and training documents and acts as a first level reviewer for escalations or periodic work reviews Assists with production issues as well as testing and validation for system updates, including but not limited to analysis of system requirements, User Interface (UI) and Customer Experience trending analysis for purposes of process improvement Qualifications
- 2+ w/Bachelor’s degree
- 4+ years experience in related role preferred. Positive documented experience with high profile, sensitive clients required.
- Ability to work independently under minimum supervision
- Strong organizational/time management skills and multi-tasking abilities
- Detail-oriented with strong analytical and problem-solving skills
- Ability to develop, implement and maintain analytical tools and reports
- Effectively able to adapt to change and be comfortable handling risk and uncertainty
- Excellent customer service skills; Customer-focused with ability to empathize with customer
- PC literacy required; MSOffice skills (Outlook, Word, Excel, PowerPoint)
Base Pay Information
The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
Pay Grade 16. $45,400 - $95,000
At Delta Dental, we’re behind millions of smiles and counting. For over 68 years, we’ve served our communities by increasing access to affordable, quality care – but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all.
We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie.
Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. If you've got an appetite for innovation and want to be a part of a team that’s transforming the future of health care, join us!
Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands.
The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company.
Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.
Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time.
Proof of eligibility to work in the United States must be provided if selected for hire.
*Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York
If You Are A Current Employee Click Here To Apply
Delta Dental Insurance Company San Francisco, California, USA Office
560 Mission St, San Francisco, California, United States, 94105 2907
Delta Dental Insurance Company Oakland, California, USA Office
1333 Broadway Ste. 800, Oakland, United States, 94612
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