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Job Description:
Summary:
This position leads a staff that is responsible for the end-to-end accounts receivable process. This includes the cash/payment reconciliation of the organizations audit groups, overseeing the day-to-day activity of the Accounts Receivable team including workflow management, problem resolution, escalated issues, quality audits, identifying accounts at risk and pursuing outstanding balances with internal clients. The incumbent is responsible for reviewing the client account for appropriate billing setup and analyzing billings against payments received, which may include large complex cases. This includes resolving outstanding balances through review and analysis of documented findings, billing contract information and systems data, to ensure accurate and current accounts and working with both internal stakeholders, external legal counsel, and external collections to recover at risk debt.
Essential Accountabilities:
Ensures that membership information provided to the organization is accurate and reconciles money received with account information
Leads the Accounts Receivable team with hands on approach, providing oversight on activities including, but not limited to, daily, weekly, and monthly reconciliation; identifying, researching, and resolving variances; and managing audit groups, pursuit of outstanding balances outside of contract grace period
Oversees associates' productivity and quality using inventory reports etc.
Provides assistance in resolving escalated issues and complex problems.
Documents processes and training new and existing employees on procedures. Proactively identifies and implements process improvements for day-to-day procedures.· Establishes and maintains effective and cooperative working relations with both clients, brokers, and various internal departments while monitoring and maintaining assigned accounts of staff.
Leads and participates in discussions with customer service, Sales, provider relations, brokers, and various levels of management to resolve outstanding debt.
Participates in cross-functional projects.
Assists with fulfilling audit requests from Accounting and Internal Audit.
Performs billing and reconciliation activities; identifies and documents sources of variances and working with departments (and clients, if necessary) to determine resolutions; follows-up to ensure that agreed upon resolutions are implemented.
Prepares and maintains account statistics, updates, and provides reports relating to account status and progress of collections (follow-up) efforts.
Resolves outstanding aging balances for accounts, using knowledge of business systems and their relationship to contract analysis, invoicing, and collection; continuously follows-up including, but not limited to, elevation and escalation to management for those accounts that may move into the delinquent category.
Engages in debt fulfillment conversations with external brokers, regulatory agencies, and groups as needed due to bankruptcy or other financial levies.
Leads team on resolving outstanding aged receivables issues and worked on root causes for identifying problems and offering solutions.
Identifies, measures and established processes assisting in provider retraction recovery.
Assists LBS, Medicare, Safety Net team in implementation of collections & cancel process in members and money recovery from government
Continues to develop internal collections procedure and established policies for EHP increased recovery on uncollectable debt
Oversees collection of payments in accordance with payment due dates.
Identifying issues attributing to account delinquency and provide possible solutions to management.
Ensures team Initiates, track and maintain all records/files associated with collection activities for each account to include negotiated payment schedules, telephone call documentation and collection letters.
Meets with clients to discuss billing issues, resolutions, and lessons learned for future invoices.
Analyze and review financial data for both internal and external reporting and communicate results, trends, and potential opportunities.
Identify process gaps, recommending and implementing improvement plans.
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
Maintains knowledge of all relevant legislative and regulatory mandates and ensures that all activities are compliant with these requirements.
Conducts periodic staff meetings to include timely distribution and education related to departmental and Ethics/Compliance information.
Performs other duties and functions as assigned by management.
Minimum Qualifications:
Three (3) years of related work experience.
Bachelor's degree in Accounting, Finance, and Business, or related field. In lieu of degree, a combination of education and progressive finance experience will be considered.
Customer service experience related to billing and reconciliation preferred
Ability to exercise judgment and make appropriate decisions while reviewing discrepancies
Strong written & oral communication skills in a clear and concise manner. Ability to clearly present written information and findings to all levels
Strong analytical, organizational and prioritization skills; ability to multi-task, work independently and be a self-starter
Detail oriented, flexible, and creative
Ability to independently prioritize work and establish, understand, and follow work rules and procedures, and take action to improve existing processes
Ability to confront difficult situations and make appropriate and timely decisions
Ability to follow-up on commitments on a timely basis, adheres to deadlines, and be a strong team player
Ability to interact well with employees and outside contacts
Proficient in MS Office Suite.
Physical Requirements:
Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.
Ability to travel across the Health Plan service region for meetings and/or trainings as needed.
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One Mission. One Vision. One I.D.E.A. One you.
Together we can create a better I.D.E.A. for our communities.
At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity.
We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply.
OUR COMPANY CULTURE:
Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.
In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.
Equal Opportunity Employer
Compensation Range(s):
Grade E3: Minimum $60,410 - Maximum $106,929
The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.
With about 4,000 employees, 31 counties, and serving the needs of over 1.5 million members, you can imagine the gamut of skills it takes to keep our organization growing and our members flourishing. As an internal job seeker, this means growth and development in many directions, divisions, and roles.Take a look at information regarding our hiring process here. https://lifethc.sharepoint.com/sites/HumanCapitalManagement/SitePages/Talent-Acquisition-%26-Onboarding.aspx#hiring-process All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
