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SalaryPOSITION SUMMARY
Provides direction and control of all Billing department functions. Responsible for the efficient and effective operation of the Billing department, including overall management, goal setting, staff development and performance, and establishing and maintaining controls related to collection of premiums and COBRA compliance.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Management and Supervision– Manages, plans, organizes, trains, motivates and evaluates staff; including making hiring & termination decisions, assigning work, developing growth opportunities, conducting performance evaluations and taking corrective action. Communicates and assures that employees have a clear understanding of performance expectations and responsibilities. Supervises/Manages the following staff:
- Manages 2 - Billing Representatives, 2 Billing Coordinators, 2 Billing Analysts/IDP Administrators
- Departmental Goals– Effectively communicates to staff and monitors the stretch goals/performance measures and standards for the department in alignment with company-wide objectives/goals.
- Monitors progress to ensure goals and objectives are effectively communicated and achieved by staff. Conceives and proposes new services.
- Policies/Procedures Manual – Assists with the development and maintenance of departmental procedural manuals.
- Effectiveness/Efficiencies– Ensures that work processes and systems maximize operating efficiencies and increase the value of services provided in alignment with company goals and objectives.
- Plans, directs, and manages the activities related to billing and collection of premiums from groups and Individual Dental Plan members, administration of COBRA services. Monitors productivity and performance while ensuring professionalism, quality, timeliness and accuracy in accordance with overall company-wide objectives. Responsible for the financial outcomes of the department. Develops positive working relationships with internal and external customers.
- Plans, directs and controls procedures and processes in administration of billing, collection of premiums and COBRA compliance including making recommendations for improvements in existing systems. Balances quality and cost of providing services in line with company goals and objectives. Collaborates with other departments to develop, test, implement and communicate changes.
- Internal Controls/Compliance– Ensures controls satisfy operational/compliance risk requirements, and data integrity.
- Establishes and maintains departmental controls to reduce risk exposure in the areas of collection of premiums and COBRA compliance. Periodically evaluates controls for effectiveness. Keeps abreast of current regulations or compliance issues that may impact the department.
- Plans, directs and controls the maintenance of the overall Account Receivable sub-ledger activities to ensure data integrity. Works with HDS Controller to ensure compliance with HDS accounting practices.
- Customer Service (Internal/External) – Monitors productivity and performance while ensuring professionalism, quality, timeliness and accuracy in accordance with overall company-wide objectives to ensure positive working relationships with internal and external customers.
- Other Duties and Responsibilities
- Plans, organizes and completes special projects.
- Ensures adequate coverage of the Billing department during high volume period or during periods of low staffing levels and carries out tasks as needed.
- Manages the retention and disposal of official records, in accordance with the company’s Records Retention Schedule as established for the Billing department.
- Proposes changes to the Records Retention Schedule to include new records, changes in operational requirements or change in regulations.
- Performs other duties as required or assigned by the Controller.
MINIMUM QUALIFICATIONS AND EXPERIENCE
Education
Bachelor’s degree in accounting or an equivalent combination of education, training or working experience.
Experience
- Minimum five (5) years work experience in Accounts Receivable or Accounting, preferably in the areas of servicing groups, COBRA and/or customer service.
- Minimum of two (2) years in a supervisory capacity, preferred.
Skills and Knowledge
- Requires use of leadership skills, creativity, problem-solving and working under limited supervision.
- Strong communication and writing skills to review documents (i.e. Terms and Conditions, open enrollment information) and creating correspondence to customers to communicate issues.
- Strong management and delegation skills to meet deadlines and complete tasks efficiently through others.
- Requires continuously finding new and better ways of performing job duties, seeking solutions and exercising good judgment.
- Requires working under frequent deadlines and pressures, dealing with difficult people or situations involving complex issues, negotiating, establishing and maintaining cooperative and productive business and working relationships.
- Ability to learn, thoroughly comprehend and communicate COBRA regulations and related HDS policies.
- Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e., HIPAA, PHI).
- Working knowledge of PC applications (i.e. Windows, Word, Excel and Powerpoint), including ability to understand interrelationship of multiple system applications.
Note: The above information in this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.
