Billing Membership Analyst

Job Description

Job Description

Role: Billing Membership Analyst

Location: Akron, OH 44305 (LOCAL CANDIDATE ONLY)

Duration: 13 Week

Shift: Days | 8:00 AM–5:00 PM

Schedule: Monday–Friday

Work Arrangement: ONSITE

Job Description

The Billing Membership Analyst develops, implements, performs, and reconciles transactions within the claims processing system and associated vendor systems while ensuring all applicable regulatory compliance requirements are followed.

The position supports enrollment, eligibility, and premium billing functions and requires the ability to research current and proposed legislation that may impact departmental processes.

The analyst will review enrollment files, investigate error reports, research rejected transactions, perform reconciliation and quality-control audits, and analyze data to identify deficiencies and potential compliance risks.

The role also provides customer service to members, providers, clients, employer groups, and brokers regarding eligibility, billing, enrollment status, coordination of benefits, primary care physician changes, and address changes .

Education

• High School Diploma or equivalent

Experience

• Minimum 1 year of experience in one or more of the following:
• • Eligibility processing
  • Auditing records and reports
  • Moderately complex data processing
  • Customer service
  • Claims/eligibility software applications supporting healthcare operations

Healthcare / Insurance Knowledge

• Experience with healthcare operations
• Understanding of eligibility and enrollment processes
• Experience with billing and/or claims-related functions
• Ability to investigate and reconcile transactions
• Ability to work with regulatory and compliance requirements

Technical Skills

• Basic knowledge of:
• • Microsoft Access
  • Microsoft Word
  • Microsoft Excel
• Typing speed of 35 WPM
• 95% typing accuracy

Core Skills

• Excellent proofreading skills
• Strong analytical skills
• Excellent attention to detail
• Strong troubleshooting skills
• Strong organizational and time-management skills
• Professional verbal and written communication
• Ability to communicate with a variety of audiences, including senior leadership
• Independent judgment and decision-making
• Ability to work independently with minimal supervision
• Ability to maintain confidentiality of member health and business information

Select Source International (SSI) is a distinguished workforce solutions provider with nearly 25 years of experience delivering top-tier staffing, recruiting, and managed services. Based in Minneapolis, Minnesota, SSI has established itself as a global leader, serving a broad, diverse clientele across industries with unwavering dedication and excellence.

As a trusted partner, we bring a wealth of expertise and best-in-business differentiators to comprehensively support your evolving workforce needs. SSI is ISO 9001, ISO 14001, and SOC 2 Type II certified, underscoring our strict commitment to quality, environmental responsibility, and data security. Our industry-leading capabilities are further validated by numerous awards in sustainability and supplier diversity.

Company Description

Select Source International (SSI) is a distinguished workforce solutions provider with nearly 25 years of experience delivering top-tier staffing, recruiting, and managed services. Based in Minneapolis, Minnesota, SSI has established itself as a global leader, serving a broad, diverse clientele across industries with unwavering dedication and excellence.\r\n\r\nAs a trusted partner, we bring a wealth of expertise and best-in-business differentiators to comprehensively support your evolving workforce needs. SSI is ISO 9001, ISO 14001, and SOC 2 Type II certified, underscoring our strict commitment to quality, environmental responsibility, and data security. Our industry-leading capabilities are further validated by numerous awards in sustainability and supplier diversity.