Company :
United Concordia Dental
Job Description :
JOB SUMMARY
This job leads a team charged with the responsibility of reviewing, verifying, reconciling, and posting funds received from UCCI Accounts, nationwide, in an accurate and timely manner, as well as other analytical responsibilities. The incumbent conducts oversight of Commercial Operations Account installation processes, ensuring accurate and timely processes and transparency of Quote to ID card status to customers, including Groups, Sales and Support teams within the company. Responsible for resource planning, budget compilation and attainment. Provides tools and guidance to supervisors and professional staff to assure that performance and servicing standards are met. Individual contributor roles as needed.
ESSENTIAL RESPONSIBILITIES
Perform management responsibilities including, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
Lead daily Receivables Management operations. This is a "hands-on" position, requiring the incumbent to work closely with the section's Accountant, Accounting Coordinators, Associate Analyst, providing, guidance, feedback, training, motivation, and support. This team is responsible for posting funds received from UCCI Accounts, nationwide, in an accurate and timely manner. This involves a variety of related activities, including but not limited to: Reviewing imaged deposit reports, Verifying bank receipts, checks, invoices, amounts, group numbers, etc., using the Billing system, Maintenance of bank lockbox accounts, Developmentand analysis of aging reports, Telephone contact with account representatives concerning overdue payments, Resolution of inquiries related to broker commissions or TPA's, Creation of monthly reports detailing problematic accounts, Termination of groups for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or participate in higher level AR tasks and projects, typically related to: Analysis and reconciliation of cash in transit discrepancies, Streamlining, development and documentation of AR policies or procedures, Reduction of AR balances and coordination of relationships with collection agencies, Creation of AR databases, use of internet technology, report development, etc., TIGAR system enhancements, and automation of cumbersome or manual processes, Coordination of annual audits (such as PWC Revenue Audit and Support Senior Vice President of Operations in Monthly/Annual budget and expense analysis for Commercial Operations group.
Support the onboarding of groups for commercial and partner business ensuring all service level agreements are attained including turn around time, accuracy on both new and maintenance to existing groups. This position is responsible for delivering to each client/group - Admin Kit including reference material and billing guide, ID cards, Group Policy documents including Benefit Summary, Certificates of Coverage and Member Post Cards for web access and Initial Invoice. Perform as Product Owner for the following information technology systems: Group Database and Services, Group Policy Automation, Client Onboarding Engine (COBE), and Benefits Plan Information Repository (BPIR), Eloquence and Collection of Documents (COD). Oversee day to day department operations. Manage AI Business Analyst staff and AI Coordinators. Responsible for overseeing all department projects, initiatives and other activities to make the department as efficient, effective and least costly as possible. Process improvement idea development, sponsorship, and implementation is key aspect of this position.
Other duties as assigned.
EDUCATION
Required
Bachelor's Degree in Accounting or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
Master's Degree in Business
EXPERIENCE
Required
5 - 7 years in Accounts Receivable, Membership Administration, Billing, Collections or Account Support
Preferred
None
LICENSES AND CERTIFICATIONS
Required
None
Preferred
None
SKILLS
Accounts Receivable (A/R) or Account Management
Analysis of business problems/needs
Analysis
Analytical Skills
Budget Management
Business Case Justification
Analytical and Logical Reasoning/Thinking
Business Process
Supervisory Experience
Language (Other than English)
None
Travel Required
0% - 25 %
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Occasionally
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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Req ID: J268389
