Easter Seals Jobs

Reference #: 1996CampHill JOB DESCRIPTION

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. 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. This position takes the lead to audit, determine root cause for issues and deviations requiring manual intervention, recommends and executes action items to resolve them directly with the client.

RESPONSIBILITIES

Ensures 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, aging balances, and impacts. When errors occur, provides feedback and recommendations to management for resolution Reviews transaction discrepancies (TRX Compare/Revenue Analysis) and prepares ACH Debit reports; Performs quality assurance of reports and analyzes and resolves exceptions as needed Analyzes and creates custom reporting and claims validation for accounts; Works with AR team to determine journal entry accruals Performs discovery audits for each group assigned as a baseline including gathering payment, billing, discrepancy, and adjustment information and determining based on this history and pattern any root cause issues that cause the account to require manual intervention Develop and execute action plans taking the lead to move customers to standard processing without manual intervention Recommend, document and gain approvals for non-standard processes to be included in contracts Performs all manner of reconciliations, reclass and refunds in Oracle and ad-hoc (manual) as needed; 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 Prepares Escalations, documenting timelines, actions taken and summarization of issue for Senior leadership to review

QUALIFICATIONS

2+ years of related experience in a billing and reconciliation role required 3+ years of experience w/High School Intermediate Excel efficiency required Strong organizational/time management skills and multi-tasking abilities Detail-oriented with strong analytical and problem-solving skills Effectively able to adapt to change and be comfortable handling risk and uncertainty Ability to prioritize and manage duties in order to meet goals and deadlines Strong 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. $39,000 - $73,200

ADDITIONAL INFORMATION

Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

C mpetitive base and incentive pay 401(k) with robust matching and non-matching contributions Rich medical & pharmacy benefits 100% employer-paid dental and vision benefits Holistic wellbeing program with deep financial incentives Generous paid time off plus 12 paid holidays and your birthday off Culture of growth and learning: career development; tuition reimbursement; recognition program Family support: adoption assistance, fertility treatment, child, elder & pet care assistance Social responsibility and volunteer opportunities Employee discount program Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

#LI-Hybrid

ABOUT THE TEAM

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 equitable 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 is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local