Responsible for servicing a designated block of accounts by preparing billing statements for paid claims and administrative fees, processing eligibility transactions, payments and reconciling accounts as needed. Administer both fully insured and self-funded lines of business. Provide customer service to employer groups, members and related entities by providing assistance with eligibility, regulatory provisions, contract guidelines, billing administration and claims reporting.
Work Experience: Two years Accounting/Accounts Receivable experience with strong keyboarding and 10-key experience required. One year experience with customer service and insurance required. One year previous experience in Commercial Enrollment and Billing Department preferred. Requires intermediate level experience using Excel, creating formulas and performing data comparisons. Experience analyzing data and reports for accuracy.
Education, Certificates, Licenses: Associate’s degree in business or accounting, or equivalent work experience.
Knowledge: Ability to understand claims reporting for self-funded groups. Knowledge of group health insurance contract provisions, and administrative services agreement guidelines. Excellent verbal, phone and written communication skills.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.