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  • ID
    #32206250
  • Job type
    Full Time
  • Salary
    TBD
  • Source
    Highmark Inc.
  • Date
    2022-01-20
  • Deadline
    2022-03-21
 
Full Time

Vacancy expired!

Company :

Highmark Inc.

Job Description :

GENERAL OVERVIEW:

The Customer Billing Analyst is responsible for assisting management staff in all areas of claims invoicing and accounts receivable activities for claims billed customers. Duties may include: Perform reviews by auditing all changes in the System that will impact the billing and/or accounts receivable activity for the claims billed customer base; review and analysis of weekly management/trending reports; run basic (SQL) queries based on departmental needs; reconcile and analyze payments activity for self-billed administrative clients; and follow all HIPAA and HITECH guidelines pertaining to Protected Health Information (PHI) information.

ESSENTIAL RESPONSIBILITIES:

1. Perform Claims Billing and Financial Reporting functions:

  • Timely and accurate report creation and review on a weekly, biweekly, or monthly basis
  • Reporting functions, maintenance and data integrity associated to the invoicing cycle.
  • Termination of accounts as notification is received from appropriate departments.
  • A/R functions and maintenance associated to the claims billed customer based.
  • Creates and maintains electronic user profiles for both internal and external customers.

2. Responsible for daily interaction with Sales personnel.

  • Respond to and resolve inquiries from internal and external customers, brokers, agents or consultants.
  • Provide internal and external auditors with required documentation and ensures information provided is reviewed for completeness.

3. Ensures all reconciliations are prepared, finalized and executed in a timely manner prior to the initiation of the weekly billing cycle.

4. May be required to be on special projects or activities identified by management.

5. Other duties as assigned or requested.

QUALIFICATIONS:

Education, Licenses/Certifications, and Experience

Minimum

  • High School Diploma/GED
  • 0-1 years of relevant subject matter experience in the area of specialization
  • Experience with PC software - MS Word, Excel, Access

Preferred

  • Bachelor’s Degree
  • Experience in billing, accounts receivable and/or general accounting procedures and applications
  • Working knowledge of the Claims Billing System (CBS), Integrated Customer information System (ICIS), PeopleSoft Accounts Receivable Application (PSAR), and the workflow associated with quality assurance procedures.
  • Understanding of brand compliance and HIPAA related guidelines

Knowledge, Skills and Abilities

  • Strong written and oral communication skills.
  • Strong relationship building skills.
  • Client focused with strong business acumen.
  • Self-starter with the ability to work under pressure independently and as part of a team.
  • Ability to think strategically and act proactively to create strong trust and confidence with business units.
  • Strong innovative problem-solving capabilities.

SCOPE OF RESPONSIBILITY

Does this role supervise/manage other employees?

No

WORK ENVIRONMENT

Is Travel Required?

No

Position:

Remote / Flex

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.


As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migratedfiles/employers/posterscreenreaderoptimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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