[Hiring] Lead Billing and A/R Billing Representative @Versant Health

Role Description

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, vendors, 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.
• 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.

Qualifications

• 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.

Requirements

• 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.
• Associates may have access to covered information, cardholder data, or other confidential customer information which must be protected at all times.
• Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

Benefits

• Comprehensive and competitive total rewards package designed to support your health, financial well-being, and work-life balance.
• Medical, dental, and paid vision coverage.
• Paid time off and company holidays.
• Retirement savings with employer contribution.
• Employee wellness resources.
• Professional development opportunities.
• Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.