Job details

Senior Customer Billing Analyst

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Company :

HM Insurance Group

Job Description :

JOB SUMMARY:

This job is responsible for the claims invoicing and accounts receivable activities for the non-risk self-insured population of clients supporting all medical, buy-up, shared savings, drug, branded and non-branded dental, and spending account products. The client population will include a portfolio of more complex structure and reporting. Support onboarding and training of new team members as well as cross-training on all billing/AR functions; providing value-added actionable feedback to leadership for performance management. This job will perform reviews by auditing all changes in the system that will impact the billing and/or accounts receivable activity for the self-funded customer base; coordinate, plan and perform various specialized tasks related to the collection and recovery of weekly receivables; review and analyze daily and weekly management/trending reports; run and modify advanced (SQL) queries based on customer specific needs and to support internal statistical requests; reconcile and analyze payment activity for advanced self-billed administrative clients to ensure compliance with audit thresholds; must be able to interact well with a diverse cross-functional set of internal stakeholders (Sales, Information Technology, Management, Finance/Accounting, Underwriting) as well as external stakeholders; recommend and implement process improvements, acting as a subject matter expert on various projects and initiatives; must be able to work in a fast-paced environment with daily work processing deadlines; and follow and ensure team compliance with all HIPAA and HITECH guidelines pertaining to Protected Health Information (PHI).

ESSENTIAL RESPONSIBILITIES:

Perform quality control reviews by auditing all changes in the systems that will impact the billing and/or accounts receivable activity for the self-funded customer base; coordinate, plan and perform various specialized tasks related to the collection and recovery of weekly receivables; review and analyze daily and weekly individual client and departmental management/trending reports.
Perform billing, A/R and reporting functions in support of more complex self-funded customers including; ensure timeliness and accuracy of invoices using reasonableness and/or comparative assessments and judgment for a specific customer portfolio, utilize trending reports to validate completeness and data integrity associated to the invoice and A/R cycle; ensure all rate discrepancies, self billed administrative, and payment allocation reconciliations are prepared, finalized and executed in a timely manner to support the weekly billing cycle; monitor customer receivables and coordinate collection efforts; maintain customer profiles, create and maintain electronic user access; run and modify advanced (SQL) queries based on customer specific needs and to support internal statistical requests; reconcile and analyze payment activity for advanced self-billed administrative clients to ensure compliance with audit thresholds.
Required to participate in special projects or activities identified by management. Propose automation solutions to manual tasks and make recommendations to enhance efficiency around current processes. Assist leadership to ensure integrity of data upon implementation of new process; update control procedures, as necessary, to maintain checks and balances. Support onboarding and training of new team members as well as cross-training on all billing/AR functions; providing value-added actionable feedback to leadership for performance management. Facilitate new client financial implementation meetings.
Other duties as required.

EDUCATION

Required

High School Diploma/GED

Substitutions

None

Preferred

Bachelor’s Degree

EXPERIENCE

Required

5 years of subject matter experience in the area of specialization

Preferred

None

SKILLS

Must interact well with a cross-functional group of internal and external stakeholders such as; Sales, System Support, Management, Finance/Accounting, Underwriting and Clients.
Must be able to work in a fast-paced environment with daily work processing deadlines
Demonstrate personal accountability
Ability to develop specific skills and a broader knowledge of all departmental functions as a subject matter expert
Ability to think strategically and act proactively under pressure independently and as a part of a team
Strong innovative problem-solving capabilities, ability to demonstrate forward thinking and make recommendations for resolution
Ability to lead department level projects
Strong proficiency with Microsoft Office products (i.e. Word, Excel, Powerpoint, Outlook etc.)

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

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

Rarely

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

Rarely

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.

Pay Range Minimum:

$21.53

Pay Range Maximum:

$32.30

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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 any category protected by applicable federal, state, or local law.

We 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 the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Average salary estimate

$26900 / YEARLY (est.)

min

max

$21500K

$32300K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Senior Customer Billing Analyst, Highmark Health

If you’re an analytical thinker with a knack for problem-solving, the position of Senior Customer Billing Analyst at HM Insurance Group might be perfect for you! Working from home in Pennsylvania, you'll play a crucial role in the claims invoicing and accounts receivable activities for a diverse range of clients. You’ll be diving into complex billing structures and also train new team members, enriching our collaborative atmosphere. Your daily tasks will include reviewing individual client reports and performing audits, ensuring that our billing and accounts receivable processes comply with industry regulations. Not only will you analyze payment activities, but you’ll also have the chance to provide actionable feedback to our leadership team for performance management and process improvements. With responsibilities spanning from running advanced SQL queries to coordinating collection efforts, you’ll truly become a subject matter expert in self-funded billing cycles. Interacting with a variety of stakeholders—ranging from Sales and IT to Management and Finance—means that your communication skills will shine in this fast-paced environment. Plus, you'll have the opportunity to work on special projects that propose automation solutions, making every day an opportunity for growth and innovation. If you love tackling challenges head-on and want to contribute to a team that values integrity and compliance, this is the job for you.

Frequently Asked Questions (FAQs) for Senior Customer Billing Analyst Role at Highmark Health

What qualifications do I need to become a Senior Customer Billing Analyst at HM Insurance Group?

To qualify for the Senior Customer Billing Analyst position at HM Insurance Group, applicants should possess at least a High School Diploma or GED, although a Bachelor’s Degree is preferred. Additionally, five years of experience in the specialized area is required. Strong communication and analytical skills will be essential for success in this role, along with proficiency in Microsoft Office products and a comfort with SQL.