Insurance Billing and Collections Facilitator

Page 1 Lafayette Parish School System Job Description

Job Title: Insurance Billing & Collections Facilitator Salary Scale: Non-Exempt Administrative Department: Insurance & Benefits Pay Grade: Pay Grade 2 Reports To: Director of Insurance & Benefits FLSA Status: Non-Exempt Approved Date: 08/2026 Days: 244-days 2002 Sales Tax Eligible: No

SUMMARY OF POSITION: Under the direction of the Director of Insurance & Benefits provides oversight to the billing staff regarding the Insurance Billing Department functions; oversees all monthly billing for active and retiree health and voluntar y benefit premiums, regular and special membership census audits, member premium analysis, data management, and member collections. Trains Insurance & Benefits department billing staff. QUALIFICATIONS: EDUCATION AND/OR EXPERIENCE: Associate's Degree or higher; in Accounting preferred. Five (5) years of relevant experience in accounting and bookkeeping or equivalent Combination; Proficiency in Microsoft Office and/or Google Suite (spreadsheet, word processing, and email software) is required; Relevant insurance experience in employee ben efit programs preferred. ESSENTIAL DUTIES AND RESPONSIBILITIES: Other additional duties/responsibilities assigned by the Supervisor and/or Superintendent may be assigned.

• Facilitates insurance and benefits billing processes within the department and ensures their effectiveness.
• Communicates effectively, both orally and in writing with active and retired members regarding premiums, collections, and adjustments.
• Utilizes advanced analytical, problem-solving, and time-management skills.
• Handles multiple tasks with ease, professionalism, high organization, and efficiency.
• Works comfortably under pressure with the ability to adhere to deadlines.
• Responds to inquiries and prepares reports for the annual external audit and actuaries for the district annual Comprehensive Annual Financial Report (CAFR.)
• Assists department administration with special projects and department initiatives, as needed.
• Prepares, coordinates and monitors collection of receivables.
• Processes collections, as needed, through the Louisiana Office of Debt Recovery.
• Completes monthly reconciliation for pension deduction reporting in conjunction with fund accountant.
• Reviews and completes member account research and analysis.
• Maintains and monitors accounts receivable for the Group Insurance Fund.
• Manages and reviews billing and collection reports for all insurance premiums.
• Prepares monthly ACH bank transmittals for non-pensioned member premium collections.
• Assists administration with projections for and establishing premium rates for Board approval, as needed.
• Creates and maintains all LPSS Alio System benefit deduction codes for health and voluntary benefits.
• Reviews monthly deduction files with retirement organizations for the collection of retiree insurance premiums.
• Reviews monthly electronic upload file for voluntary benefits from the District Third -Party
• Administrator and submits it to MIS.
• Prepares and submits third-party administrator reports for life premiums.
• Prepares and submits monthly self-billing reports for basic and supplemental life premiums.
• Prepares yearly supplemental life report for the aging of membership.
• Prepares periodic, and yearly electronic uploads to retiree pensions to facilitate mass changes to deductions.
• Oversees maintenance of deductions and benefits in the Human Resources Information System (HRIS).
• Collaborates with staff in Employee Services and Finance to complete and improve processes, including but not limited to, reporting required by the Patient Protection and Affordable Care Act.
• Monitors and communicates changes within Medicare to administration; coordinates
• Medicare regulations and health coverages for retirees.
• Works in conjunction with department administration to establish new practices and procedures related to Billing.
• Assists with budget preparation and prepares budget transfers.
• Trains Billing department staff and provides ongoing development; serves as backup when needed.

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• Coordinates implementation and maintenance of all district directives pertaining to health or benefit premiums.
• Reviews and pre-approves payments for all invoices for the Group Insurance Fund.
• Reconciles/oversees reconciliation of monthly voluntary benefit vendors and liability payments.
• Oversees the monthly monitoring of members on worker's compensation and leaves to manage contributions.
• Completion and oversight of member communications and notifications.
• Safeguards and maintains electronic records and files.
• Works collaboratively with Insurance staff accomplishing department goals as directed.
• Obtains considerable knowledge and proficiency of District pay schedules and their relationship to health and benefits processing.
• Obtains knowledge and proficiency of LPSS Alio HRIS software, health provider software, benefits software, pension software, and other software platforms necessary to accomplish the department initiatives.
• Obtains considerable knowledge and understanding of the Billing Department practices and processes, and maintains the ability to apply it to given tasks.
• Supports the department with tasks related to the Employee Retiree Insurance Advisory Panel (ERIAP) and attends meetings.
• Assists with department active and retiree special events and projects as deemed necessary by department management.

METHOD OF EVALUATION: Evaluations in accordance with the Lafayette Parish School System Policy GBI -Evaluation.

PROFESSIONALISM AND CONDUCT STANDARDS: Quality of Work - attention to detail and accuracy of work that meets and exceeds expectations o Completes tasks, reports, and documents accurately according to specified timelines and expectations; Makes wise and appropriate decisions after identifying and analyzing relevant information Availability - punctual, adheres to work schedule and has overall satisfactory attendance o Adheres to district guidelines relative to attendance; Regularly reports to work on time and work additional hours when deemed necessary and pre-approved by your immediate supervisor Communication Skills - all verbal, non-verbal, visual, and written exchange of information is of satisfactory caliber o Uses verbal and non-verbal communication in a manner respectful of others; Demonstrates skill in giving and receiving feedback; Uses active listening skills; Writes and speaks clearly and concisely so that the message is understood; Maintains communication with immediate supervisor, keeping him/her informed of problems, concerns, and significant developments Interpersonal Skills / Teamwork - works cooperatively with colleagues, students, parents, and vendors o Promotes and supports a culture of inclusion, diversity, dignity, respect, and fairness for all stakeholders; Attends and constructively participates in meetings and professional development activities; Accepts and uses constructive feedback; Cooperates with building and district staff in planning and evaluation Personal Impact - presentable, appropriate appearance for position, represents district positively o Wears attire appropriate to job responsibilities; practices personal grooming that is appropriate for work environment; Develops and maintains a safe and caring environment for all of our stakeholders; Advocate positive personal behavior on or off campus and attempt to avoid improprieties or the appearance of improprieties Productivity - performs work efficiently, on time, and effectively while uses available resources o Identifies problems and issues and works collaboratively to contribute ideas and find solutions; Minimizes bias in self and others and accepts responsibility for his/her own actions Adaptability - accepts and adjusts to change, performs multiple tasks, organizes work, sets work priorities, and performs other duties as assigned o Follows directives as assigned by supervisor; Cooperates with administration in the performance of additional duties. Policy - comply with all Lafayette Parish School System Policies and Procedures o Adheres to laws, board policies and procedures, administrative rules, practices, and guidelines and applies all fairly, consistently, wisely, and compassionately; Adheres to ethical, legal and professional standards; Maintain the confidentiality of all School Board information by refraining from accessing, discussing, or disclosing anything outside the scope of employment unless authorized by immediate supervisor. o The Lafayette Parish School Board shall require all personnel to follow the district/school calendar and holiday schedule during the school term. All employees are required to adhere to daily schedule, punctuality, and attendance set forth by the district.

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EXPECTATIONS: Expectations include: working under limited supervision following standardized practices and/or methods; providing information and/or advising others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily along with adhering to the professionalism and conduct standards. The requirements listed above are representative of the knowledge, skills, and/or ability required.

WORK ENVIRONMENT/PHYSICAL DEMANDS The work environment is representative of conditions an employee encounters while performing the essential functions of this job. While performing the duties of this job, the employee is occasionally exposed to a noise level in the work environment which is moderate to loud, outside weather conditions, a variety of childhood and adult diseases and illnesses, heated/air conditioned and ventilated facilities, a building in which a variety of chemical substances are used for cleaning, instruction and/or operation of equipment. This job does require public contact, both on the telephone and in person, under sometimes-stressful conditions.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The usual and customary methods of performing the jobs functions require the following physical demands: significant lifting, carrying, pushing, and/or pulling, frequent stooping, kneeling, crouching, and/or crawling. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may occasionally push or lift up to 50 lbs. Specific vision abilities required by this job include close vision such as to read handwritten or typed material, and the ability to adjust focus. The information contained in this job description is in compliance with the American with Disabilities Act (A.D.A.) and is not an exhaustive list of the duties performed for this position. Additional duties are performed by the individuals currently holdi ng this position and additional duties may be assigned.

________ Employee's Printed Name Supervisor's Signature

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