Lead Billing Analyst

Independence Blue Cross; Philadelphia (Philadelphia County); On-site; USD 90,000 - 130,000; Full time

Job summary

Independence Blue Cross in Philadelphia is seeking a Lead Self-Funded Billing Analyst to own the Self Funded Billing & Collections, Cash Application, and Finance Business and Systems Support functions.

You will identify process improvements, work with technical staff to align system functions with workflows, and partner with internal and external customers to maintain controls and timely reporting. Strong project management and analytical skills are required.

Qualifications

• Bachelor’s Degree in a Business related field preferred.
• Minimum of 5 years in Billing, Finance or Operations.
• Ability to define complex issues and propose best-fit solutions.
• Experience identifying regulations and required controls.
• Experience with data mining, reporting, and trend analysis.
• Ability to train and transfer knowledge across teams.

Responsibilities

• Understand Self Funded Billing, Collections, Cash Application and related systems.
• Identify process improvements and system inconsistencies; implement solutions.
• Act as business consultant with internal/external customers; maintain controls.
• Provide month-end reporting, variance analysis and ad-hoc reports.
• Assist with AR delinquencies, reconciliations and escalations.
• Lead design, development and implementation of complex business needs and projects.
• Provide leadership for billing and customer account analysis and corporate initiatives.

Skills

Billing

Finance

Operations

Audit

Regulatory compliance

Education

Bachelor’s Degree in Business

Tools

PeopleSoft

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

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.

Inclusion and Belonging

At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com . We’re revolutionizing health care, and our focus is on you!

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.