Enrollment and Billing Specialist

Delta-Dental; Boise (ID); Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical, dental, and vision

401K with up to 6% company contribu­t­

PTO and holidays

Hybrid schedule (2 days in office per月

Education reimbursement

Job summary

Delta Dental of Idaho seeks an Enrollment and Billing Specialist to handle eligibility, enrollment changes, and billing for employer groups and individuals while delivering excellent customer service.

Responsibilities include reconciling receipts, COBRA and PERSI administration, and supporting IT and Eligibility projects, with a collaborative, flexible, and growth-oriented work environment.

Qualifications

• High school diploma or equivalent.
• Experience in bookkeeping, AP/AR, accounting, or related field.
• Competency in Microsoft Office – Word, Excel, and Outlook.
• 10-key data entry.
• Detail-oriented with ability to understand benefits and contract provisions.
• Strong written and verbal communication skills.
• Strong time management skills with the ability to determine priorities and critical tasks.
• Ability to maintain a highly responsive relationship with Customer Service, Sales, Underwriting, and Eligibility departments and clients.
• Ability to represent and promote Delta Dental of Idaho services professionally at all times.

Responsibilities

• Reconcile eligibility and enroll or terminate subscribers and dependents according to group contracts and underwriting guidelines and on the individual plan.
• Serve as a liaison with subscribers, groups, and agencies to answer eligibility, benefit, payment, electronic enrollment file and contract questions.
• Reconcile daily receipts and research variances.
• Apply receipts to outstanding invoices.
• Import electronic enrollment file and distribute discrepancy report to groups within designated timelines.
• Perform COBRA administration for designated groups according to federal regulations.
• Perform PERSI administration for designated groups according to state regulations.
• Perform project support functions for IT and Eligibility projects.
• Perform testing for IT changes.
• Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards.
• Other duties as assigned.

Skills

Bookkeeping

AP/AR

Accounting

Microsoft Office

10-key data entry

Detail-oriented

Communication

Time management

Cross-functional collaboration

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Culture rules at Delta Dental. It's key to our becoming the leading dental benefits carrier in the state, reaching over 500,000 Idahoans with our dental plans and community outreach programs. We're small on ego and big on grins. You'll see us involved in community events and \"Did you make someone smile today?\" on our To-Do lists. Our employees have the opportunity to make a difference in people's lives while working in an environment full of challenge, collaboration, flexibility, and industry-leading growth potential. Join our team committed to better oral health for all Idahoans.

The Enrollment and Billing Specialist performs a variety of general accounting and enrollment/eligibility duties including reconciling eligibility for select employer groups according to group contracts and underwriting guidelines, enrollment additions and changes, reconciling payment and billing for both groups and individuals, and providing excellent customer service.

Essential Functions

• Reconcile eligibility and enroll or terminate subscribers and dependents according to group contracts and underwriting guidelines and on the individual plan.
• Serve as a liaison with subscribers, groups, and agencies to answer eligibility, benefit, payment, electronic enrollment file and contract questions.
• Reconcile daily receipts and research variances.
• Apply receipts to outstanding invoices.
• Import electronic enrollment file and distribute discrepancy report to groups within designated timelines.
• Perform COBRA administration for designated groups according to federal regulations.
• Perform PERSI administration for designated groups according to state regulations.
• Perform project support functions for IT and Eligibility projects.
• Perform testing for IT changes.
• Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards.
• Other duties as assigned.

• High school diploma or equivalent.
• Experience in bookkeeping, AP/AR, accounting, or a related field.
• Competency in Microsoft Office – Word, Excel, and Outlook.
• 10-key data entry
• Detail-oriented with the ability to understand benefits and contract provisions.
• Strong written and verbal communication skills.
• Strong time management skills with the ability to determine priorities and critical tasks.
• Ability to maintain a highly responsive relationship with Customer Service, Sales, Underwriting, and Eligibility departments and clients.
• Ability to represents and promote Delta Dental of Idaho services in a positive and professional manner at all times.

Physical and Mental Requirements

• Sitting/Standing (alternatively) continuously
• Keyboard Use/Repetitive Hand motion continuously
• Skill/ability related to comprehension, organization, reasoning/decision-making and communication appropriate to position/level

Delta Dental of Idaho offers a competitive benefits plan including:

• Medical, dental, and vision
• 401K with up to 6% company contribution
• Generous PTO and up to 9 paid holidays
• Community Service Time
• Flexible, hybrid schedule (2 days in office per month) and 1/2 day Fridays
• Tuition and continuing education reimbursement
• Casual dress code
• ...and more!

OUR CULTURE

DDID seeks to provide a positive workplace where employees are treated with respect, and all are accountable for living our values and Code of Ethics while empowered to help the organization succeed in achieving its mission and vision.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Individuals that may need assistance with the applicant or interview process may contact Delta Dental of Idaho at [e-mail] or by phone: [phone].