Senior Analyst, Billing and Accounts Receivable

Senior Analyst, Billing & Accounts Receivable

Senior Analyst, Billing & Accounts Receivable
 

Who are we?

Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.

As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.

See how you can make a difference with the support of strong leadership and a team environment.

See Everything, Be Anything™.

What are we looking for?

The Senior Analyst is responsible for supporting the functions of the Billing team and serving as a lead for the handling of specific tasks. These include managing accounts receivable balances for write off consideration, collections activities with customers, client managers and Operations leadership, the negative balance and provider billing, and supporting the month end close activities. The Senior Analyst is also responsible for completing review of RT tickets related to the accounts receivable and customer inquiry tasks. Will work with configuration, network and billing team members as needed to support the tasks of the department. Will work with the Finance staff as needed for month end close activities. The Senior Analyst will work with internal contacts, customers and providers in managing the work tasks as noted within this job description.

Essential Functions:

• Lead responsible for the activities of the Billing team in managing the provider billing for excel/tower efforts.
• Manage the provider payments and collection activities for the provider billing.
• Manage the CV/CVX/HSP collections activities, sending letters to customers and working with Client managers to follow established collections policy.
• Responsible for recommending customers for consideration for termination of coverage due to non payment of billed premiums in accordance with collections timelines.
• Take a lead role in managing the month end close activities, working with the Operations and Finance teams in the completion of these efforts.
• Manage the provider negative balance process, billing and collections efforts with providers and management of payments received.
• Reconcile discrepancies between billed and paid amounts.
• Monitor aged receivable balances and address partial payments to reconcile and determine unpaid membership, work with customers, client managers and the Enrollment team to modify group enrollment to match payment remittances.
• Complete department tasks with attention to established SOC controls in accordance with defined expectations, monitoring weekly to ensure proper completion of tasks and retention of evidence of controls is completed.
• Support team activities and customer/position needs in the absence of a team member to ensure timely attention is given to all items
• Other duties as assigned.

What’s necessary to do the job?

• Five (5) years of Health Plan billing experienced required.
• Experienced serving in a lead role in regards to health plan billing of balances to customers and providers required.
• Advanced experience in using MS Office products, including Excel and Work.
• Direct client interface experience required related to billing and accounts receivable items.
• Preferred PC knowledge to include the following software applications: Microsoft Word, Microsoft Excel, Ultra editor, and Microsoft Access, EDI Gateways/Mapping Software
• Insurance experience preferred

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.

Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

Versant Health is a proud Equal Employment Opportunity and Affirmative Action 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.

The wage range for applicants for this position is [$60,000.00 to $65,000.00].

All incentives and benefits are subject to the applicable plan terms.