Billing Analyst

Delta Dental of California; Oakland (CA); On-site; USD 45,000 - 95,000; Full time

Job summary

Delta Dental of California seeks an Analyst to manage premium reconciliations and payment analysis across multiple accounts from Oakland, CA. You will resolve discrepancies, review back-up data, and deliver consultative service to clients while mentoring junior staff.

Responsibilities include preparing ACH reports, performing complex reconciliations in Oracle, and driving process improvements to minimize errors and accelerate issue resolution for high-profile accounts.

Qualifications

• Bachelor's degree required or equivalent.
• 4+ years experience in related role with high-profile clients preferred.
• Ability to work independently with minimal supervision.
• Strong organizational and time-management skills with multi-tasking abilities.
• Detail-oriented with strong analytical and problem-solving skills.
• Proficiency with MS Office (Outlook, Word, Excel, PowerPoint).

Responsibilities

• Track and perform premium reconciliations for payment vs invoice amounts.
• Analyze premium backup and resolve outstanding balances.
• Mentor team members and act as SME for escalated issues.
• Prepare ACH Debit reports and QA reports; resolve exceptions as needed.
• Perform reconciliations, reclass and refunds in Oracle; assist with ad-hoc analysis.
• Communicate with clients via phone or email and manage aging balances.

Skills

Analytical thinking

Problem solving

Customer service

Attention to detail

Time management

Education

Bachelor's degree

Tools

MS Office

Excel

Outlook

Word

PowerPoint

Job description

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