Lead Billing Analyst

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Vor Ort; USD 90.000 - 115.000; Vollzeit

Zusammenfassung

Independence Blue Cross, LLC in Philadelphia is seeking a Lead SelfFunded Billing Analyst to own end-to-end Self Funded Billing, Collections, Cash Application and Finance Systems support. You’ll analyze workflows, partner with IT and business teams, and drive improvements that reduce cycle times and errors.

You will produce month-end reports, handle delinquency management, and mentor others on billing processes.

Qualifikationen

• Bachelor's degree in a business-related field; audit, compliance and training experience in healthcare/insurance preferred.
• In lieu of degree, minimum 5 years in Billing, Finance, or Operations.
• Ability to define complex business issues and determine best-fit solutions.
• Experience with regulatory requirements and controls.
• Strong data mining and reporting skills.
• Experience with cross-functional collaboration and training.
• Experience with web-based applications; PeopleSoft preferred.

Aufgaben

• Identify customer-focused process improvement opportunities, system inconsistencies, root cause analysis and solutions.
• Collaborate with technical staff to identify system functions supporting work processes.
• Act as a business consultant and partner with internal and external customers for workflow controls.
• Provide month-end reporting, variance analysis, and self-funded settlements.
• Assist with A/R delinquency, reconciliation of receivables, and escalations.
• Advise management on solutions to streamline processes and minimize customer impact.
• Proactively resolve issues with internal departments (accounting, underwriting, etc.).
• Oversee design, development and implementation of complex business needs and project management.
• Provide leadership for billing and customer account analysis and related initiatives.

Kenntnisse

Project management

Process improvement

Data analysis

Training

Cross-functional collaboration

Ausbildung

Bachelor's degree in a Business-related field

Audit, Compliance & Training experience in Healthcare/Insurance

Tools

PeopleSoft

Microsoft Excel

Microsoft Word

Microsoft Outlook

Jobbeschreibung

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 learningoriented people to join our team. If this describes you, we want to speak with you.

Job Summary

The Lead SelfFunded 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 adhoc 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, corporatewide 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 crosstraining 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.