Enrollment & Billing Specialist

The Enrollment & Billing Specialist is responsible for end-to-end account processing and maintenance. Duties include validating 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.

• 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.

• 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. $33,600 - $67,900

Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

• Competitive base and incentive pay 
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and vision benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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