D2C Enrollment And Billing Specialist

JOB DESCRIPTION
The Enrollment & Billing Specialist is responsible for end-to-end account processing and maintenance. Duties include validating and approving enrollment applications, system entry of enrollment information, analyzing billing against payment received and resolving outstanding balances through review and analysis of documented findings, billing contract information and systems data to ensure accurate and current accounts.
RESPONSIBILITIES

• Performs billing and reconciliation activities; identifies and documents sources of variances and works with internal departments to determine resolutions.
• Resolves outstanding aging balances for accounts using knowledge of business systems and their relationship to contract analysis, invoicing, and collection.
• Escalates complex billing and account issues to coordinator or management as required.
• Continuously follows-up on open items including resolution status with other departments and escalations for accounts that may move into the delinquent category.
• Establishes effective partnerships and working relationships with relevant internal departments (e.g., Sales, Eligibility, Accounting) to ensure timely and accurate invoicing and resolution of billing and reconciliation issues.
• Prepares timely and accurate billing and reconciliation reports as required.
• Validates authenticity and monitors production cycle time of all proof-of-eligibility documentation submitted by subscribers. Approves and/or rejects enrollment applications.
• Processes enrollment information of new customers, ensuring accurate set-up within the system.
• Reviews, investigates, and makes decisions on all requests for retroactive enrollments. Identifies and resolves applications with discrepancies; tracks, follows-up and reports status on all applications and outbound correspondence.
• Gathers and reconciles monthly enrollment activity data and processes enrollment prepayment checks and credit card charges.

QUALIFICATIONS

• 1+ years of experience w/High School
• 2+ years' related experience preferred
• Strong analytical, problem solving skills and multi-tasking abilities.
• Detail-oriented; flexible and creative, with strong organization and planning skills.
• Knowledge of Delta Dental policies, procedures, and guidelines.
• Ability to independently prioritize work and establish, understand and follow work rules and procedures, and take action to improve existing processes.
• Maintains the strictest patient confidentiality and adheres to all HIPAA guidelines.
• Ability to confront difficult situations and make appropriate and timely decisions.
• Strong customer service skills and ability to communicate effectively with various levels of staff.
• Basic mathematical skills.

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. $35,360 - $66,500
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 Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn.
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