Lead Billing and A/R Billing Representative

Lead Billing and A/R Billing Representative Troy, NY, USA Job Description Who are we? Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we believe that everyone has the power to become anything they set their sights on. See how you can make a difference with the support of strong leadership and a team environment. Versant Health: Making Healthy Vision a Reality for Everyone What are we looking for? The primary scope of this position includes the oversight and production of billing statements in a variety of formats and frequencies, reconciling and auditing accounts, and assisting internal staff, and external clients with questions and concerns.The Lead Billing and A/R Representative provides effective communication with clients, vendor and staff, while handling inquiries and issues in a courteous, professional and timely manner in a fast-paced environment. This position will act as the liaison between department leadership, billing vendor and the Billing and Accounts Receivable staff members. Where you will have an impact Responsible for training Billing staff for the bill creation and delivery tasks for all premium, ASO and FFS customers on HSP. Manage manual invoicing of ASO commercial customers. Create system invoices for customers based on existing schedule, ensure appropriate creation and customer delivery via portal or print is completed. Point of contact for escalations of all billing, accounts receivable, collections related topics. Provide onsite guidance, training and direction to Billing staff members as necessary Work closely with clients, brokers and TPAs to assist in problem resolution, concerns regarding billing, statements and eligibility issues Manage the new group first invoice process and review Manage the group termination process to manage receivables to resolution, completion of refunds, balance collection and write-offs as appropriate. Complete system testing for all billing, collections and accounts receivable related system and code upgrades, disaster recovery testing, and system changes. Support all corporate projects to represent billing, accounts receivable, and balance related topics. Research, reconcile, audit, resolve and make adjustments on accounts Serve as the SME for all billing and accounts receivable management topics to support training and education of vendor staff, billing team members and other department staff members. Call or email past due accounts for collection as necessary. Manage all established SOC controls in accordance with defined expectations, monitoring weekly to ensure proper completion of tasks and retention of evidence of controls is completed. Monthly review and confirmation of controls completion and adherence required. Assist in the setup of accounts for “new” clients to achieve their billing needs Establish work procedures and processes for Billing and Accounts Receivable Department that support company and departmental standards and strategic directives Effectively communicate with internal departments on issues Regular reliable attendance is required Completes Refund requests where necessary for active or inactive customers with credit balances that cannot be resolved otherwise. Perform other duties as assigned by leadership to support the overall success of the Billing and Accounts Receivable Department. What’s necessary to do the job? High school Diploma/GED or equivalent Bachelor’s or Associate Degree preferred Must have prior billing and account receivable experience Excellent computer skills and very proficient in Excel and Macros Demonstrate ability to reconcile billing payments in a high volume environment HIPAA & Security Requirements All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program. We offer a comprehensive and competitive total rewards package designed to support your health, financial well‑being, and work‑life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond. This role is compensated on an hourly basis. The expected hourly pay range for this position is $20 – $22 per hour, based on factors such as experience, skills, and role requirements. Actual pay within the range will be determined during the hiring process and in accordance with applicable wage and hour laws. Versant Healthis a proud Equal Employment Opportunity and Affi... employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members’ lives with easy-to-use vision solutions rooted in choice, value, and care, Versant Health believes that everyone has the power to become anything they set their sights on. Our team is guided by core Leadership Principles—Perspective, Care, Drive, and Ownership which shape how we work, lead, and grow together. Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results. #J-18808-Ljbffr Versant Health, Inc.