Delta Dental of California Looking for Billing Specialist at Oakland, CA  Full Time

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. 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. This position takes the lead to audit, determine root cause for issues and deviations requiring manual intervention, recommends and executes action items to resolve them directly with the client.

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, aging balances, and impacts. When errors occur, provides feedback and recommendations to management for resolution
• Reviews transaction discrepancies (TRX Compare/Revenue Analysis) and prepares ACH Debit reports; Performs quality assurance of reports and analyzes and resolves exceptions as needed
• Analyzes and creates custom reporting and claims validation for accounts; Works with AR team to determine journal entry accruals
• Performs discovery audits for each group assigned as a baseline including gathering payment, billing, discrepancy, and adjustment information and determining based on this history and pattern any root cause issues that cause the account to require manual intervention
• Develop and execute action plans taking the lead to move customers to standard processing without manual intervention
• Recommend, document and gain approvals for non-standard processes to be included in contracts
• Performs all manner of reconciliations, reclass and refunds in Oracle and ad-hoc (manual) as needed; 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
• Prepares Escalations, documenting timelines, actions taken and summarization of issue for Senior leadership to review

QUALIFICATIONS

• 2+ years of related experience in a billing and reconciliation role required
• 3+ years of experience w/High School
• Intermediate Excel efficiency required
• Strong organizational/time management skills and multi-tasking abilities
• Detail-oriented with strong analytical and problem-solving skills
• Effectively able to adapt to change and be comfortable handling risk and uncertainty
• Ability to prioritize and manage duties in order to meet goals and deadlines
• Strong customer service skills; customer-focused with ability to empathize with customer
• PC literacy required; MSOffice skills (Outlook, Word, Excel, PowerPoint).

Base Pay Information

The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $39,000 – $73,200

ADDITIONAL INFORMATION

Rewards to make you smile! We don’t just want to make our customers happy – we want to give our employees a reason to smile, too. Delta Dental’s comprehensive benefits package includes:

• Generous paid time off plus 12 holidays and your birthday off!
• Low-cost premium medical insurance options
• 100% paid dental and vision insurance
• Generous 401(k) matching and flat contribution
• Social responsibility and volunteer opportunities, including 16 paid volunteer hours annually
• Employee LiveWell program, focusing on overall employee well-being
• Fertility and diabetes benefits
• Employee discount program: AT&T/Verizon, entertainment, travel, and more!
• Culture of learning: career development and tuition reimbursement
• Career growth: we love promoting from within

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

#LI-Hybrid

ABOUT THE TEAM

At Delta Dental, our success is only as strong as the people who execute it! We take enormous pride in being the nation’s most recognized and widely-used provider of dental insurance – and we’ve come this far by living our core values of innovation, excellence, service and trust. Our vision is to motivate and empower every employee so that we’re all inspired to take exceptional care of our customers, providers and ourselves. We believe in integrity, accountability, collaboration, and giving every employee equitable opportunity for their voice to be heard and development to be fostered.

If you’re excited about the prospect of transforming the future of health care and growing in your career, join our smile revolution!

To see some of the smiling faces behind Delta Dental and to learn more about what our values and culture look like in action, connect with us on social media: Delta Dental Ins. on and #LifeatDDins on and , Delta Dental Ins. on and Delta Dental Ins. on .

We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation’s largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country.

Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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 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

If You Are A Current Employee To Apply
We are an Equal Opportunity Employer and it is our policy to provide equal opportunity in employment without regard to race, color, religion, ancestry, sex, citizenship, national origin, age (over 40 years), sexual orientation, marital status, veteran status, pregnancy, physical disability, mental disability or medical condition or any other characteristic protected by state or federal law. This policy also applies to the qualified disabled veterans and veterans of the Vietnam era.