Billing Analyst

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

Job summary

Delta Dental Ins. is seeking an Analyst to manage premium reconciliations, analyze back-up, resolve balances, and deliver consultative customer service across complex accounts. The role includes mentoring teammates and driving process improvements to minimize errors.

Responsibilities cover billing cycles, discrepancies resolution, reporting, and coordination with AR. This position requires independent work, strong organizational skills, and excellent MS Office proficiency within a healthcare

Qualifications

• Bachelor’s degree required; 4+ years in a related role preferred.
• Independence with minimal supervision.
• Strong organization and time-management skills.
• Detail-oriented with analytical problem-solving.
• Experience developing and maintaining analytical tools and reports.
• Able to adapt to change and manage risk.
• Excellent customer service; client-focused.
• PC literacy with MS Office (Outlook, Word, Excel, PowerPoint).

Responsibilities

• Ensures accurate billing for all cycles (weekly, biweekly, monthly billing, etc.), including SOA creation and reconciliation.
• Provides guidance to internal/external customers on billing and reconciliation.
• Reviews transaction discrepancies and creates custom reporting for accounts and journal entry accruals.
• Prepares ACH Debit reports and performs QA of reports.
• Performs reconciliations, reclass, and refunds in Oracle; reviews backup analysis.
• Analyzes group remittance and guides AR for accurate payment application.
• Prepares documentation for stakeholders and reviews dunning letters for propriety.
• Communicates with clients via phone/email and acts on balances, reviewing aging.
• Prepares Escalations and templates for leadership review.
• Acts as primary trainer/SME and supports desk procedures and escalations.
• Assists with production issues and testing for system updates.

Skills

Analytical skills

Customer service

Time management

Problem solving

Multitasking

Adaptability

Education

Bachelor’s degree

Tools

MS Office

Job description

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.

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.

Responsibilities

• 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

Qualifications

• 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

Pay Grade 16. $45,400 - $95,000

About The Team

At Delta Dental, we’re behind millions of smiles and counting. For over 68 years, we’ve served our communities by increasing access to affordable, quality care – but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all.

We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie.

Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram , on Facebook and Instagram , Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn . If you've got an appetite for innovation and want to be a part of a team that’s transforming the future of health care, join us!

Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands.

The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company.

Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.

Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time.

Proof of eligibility to work in the United States must be provided if selected for hire.

• Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York