Lead Billing Analyst

Independence Blue Cross; Pennsylvania; On-site; USD 90,000 - 120,000; Full time

Job summary

Independence Blue Cross in Pennsylvania seeks a Lead Self-Funded Billing Analyst to manage self-funded billing, collections, cash application and related finance systems.

You will identify process improvements, work with IT on system functions, and provide month-end reports and ad-hoc analyses.

The role requires collaboration with accounting, underwriting and product teams, plus training and leadership for billing initiatives.

Qualifications

• Demonstrated ability to define complex business issues and determine best fit solutions.
• Proven project management skills.
• Experience in regulatory assessment and controls implementation.
• Strong data mining and reporting capabilities.
• Proficient in trend analysis and stakeholder communication.

Responsibilities

• Lead Self-Funded Billing, Collections, Cash Application and Finance Systems support.
• Identify customer-focused process improvements and root-cause analysis, and train staff.
• Collaborate with IT to identify system functions that support workflows.
• Act as a business consultant to internal and external customers to maintain workflow controls.
• Provide month-end reporting, variance analysis, and self-funded settlements as needed.
• Manage AR delinquency processes, receivables reconciliation and escalations.
• Consult with management to streamline processes and reduce customer impact.
• Coordinate with accounting, underwriting, account management and product management on issues.
• Oversee design and implementation of complex business needs and provide project management leadership.
• Lead billing analysis for corporate-wide initiatives.

Education

Bachelor’s Degree in a Business related field

Audit, Compliance and Training experience in Healthcare/Insurance industry

Tools

PeopleSoft

Job description

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| Bring your drive for excellence, team orientation and customer commitment ; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you. Job Summary The Lead Self-Funded Billing Analyst is responsible for understanding all aspects of Self Funded Billing & Collections, Cash Application, and Finance Business and Systems Support, including workflow, processes, related systems and work procedures. Must be able to identify customer focused process improvement opportunities, system inconsistencies, assess root cause issues, apply business solutions and facilitate training opportunities. Must be able to work with technical staff in identifying system functions that support work processes. Acts as a business consultant and partner with internal and external customers to maintain workflow controls and consistency. Provides both internal and external customers with month end reporting and variance analysis, self funded settlements and any ad-hoc reporting upon request. Assists with accounts receivable delinquency process, reconciliation of receivables, and escalations. Consults with management regarding business solutions to streamline processes and reduce adverse impact to customers. Proactively works on issue resolution with internal departments including but not limited to accounting, underwriting, account management, and product management. Oversees the design, development and implementation of complex business needs and has overall project management responsibilities. * Provides leadership for billing and customer account analysis and billing related, corporate-wide initiatives. |

Bachelor’s Degree in a Business related field and Audit, Compliance and Training experience in a Healthcare/Insurance Industry is strongly preferred.

• In lieu of degree, minimum of 5 years working within a Billing, Finance, or Operations Department.
• Demonstrated ability to define complex business issues and determine “best fit” solutions. Demonstrated effective project management skills necessary.
• Proven experience assessing regulations and required controls and incorporating what is required into the specifications and/or documentation
• Proven knowledge of process flows, regulatory impacts and timelines to ensure requirements, testing and implementation are in compliance across operational disciplines.
• Proven ability to compile detailed reporting and data mining to support business needs.
• Proficient in trend analysis and communicating as the liaison with business partners on findings and recommendations focused on minimizing impacts to other areas and the customer.
• Proven ability to participate in departmental knowledge transfer activities and facilitating/delivering training and cross-training opportunities.
• Working knowledge of Web based applications, including PeopleSoft preferred.

Proficient with Microsoft Excel, Word, and Outlook.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.