Billing Analyst

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.

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, 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

• 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