• Philadelphia, PA
    6 days ago

    Job Description

    Bring your drive for excellence, team orientation and customer commitment ; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you.

    Job Summary

    The Lead Self-Funded Billing Analyst is responsible for understanding all aspects of Self Funded Billing & Collections, Cash Application, and Finance Business and Systems Support, including workflow, processes, related systems and work procedures.

    • Must be able to identify customer focused process improvement opportunities, system inconsistencies, assess root cause issues, apply business solutions and facilitate training opportunities.

    • Must be able to work with technical staff in identifying system functions that support work processes.

    • Acts as a business consultant and partner with internal and external customers to maintain workflow controls and consistency.

    • Provides both internal and external customers with month end reporting and variance analysis, self funded settlements and any ad-hoc reporting upon request.

    • Assists with accounts receivable delinquency process, reconciliation of receivables, and escalations.

    • Consults with management regarding business solutions to streamline processes and reduce adverse impact to customers.

    • Proactively works on issue resolution with internal departments including but not limited to accounting, underwriting, account management, and product management.

    • Oversees the design, development and implementation of complex business needs and has overall project management responsibilities.

    • Provides leadership for billing and customer account analysis and billing related, corporate-wide initiatives.

    Bachelor's Degree in a Business related field and Audit, Compliance and Training experience in a Healthcare/Insurance Industry is strongly preferred.

    • In lieu of degree, minimum of 5 years working within a Billing, Finance, or Operations Department.
    • Demonstrated ability to define complex business issues and determine "best fit" solutions. Demonstrated effective project management skills necessary.
    • Proven experience assessing regulations and required controls and incorporating what is required into the specifications and/or documentation
    • Proven knowledge of process flows, regulatory impacts and timelines to ensure requirements, testing and implementation are in compliance across operational disciplines.
    • Proven ability to compile detailed reporting and data mining to support business needs.
    • Proficient in trend analysis and communicating as the liaison with business partners on findings and recommendations focused on minimizing impacts to other areas and the customer.
    • Proven ability to participate in departmental knowledge transfer activities and facilitating/delivering training and cross-training opportunities.
    • Working knowledge of Web based applications, including PeopleSoft preferred.

    Proficient with Microsoft Excel, Word, and Outlook.

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    Numbers & Facts

    LocationPhiladelphia, PA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

    Skills

    • Accountingunmatched
    • Accounts Receivableunmatched
    • Accounts Receivable Processingunmatched
    • Analysis Skillsunmatched
    • Billingunmatched
    • Business Solutionsunmatched
    • Business Supportunmatched
    • Cash Applicationsunmatched
    • Consultingunmatched
    • Credit and Collectionsunmatched
    • Cross-Trainingunmatched
    • Customer Relationsunmatched
    • Data Miningunmatched
    • Documentationunmatched
    • Financial Operationsunmatched
    • Financial Reportingunmatched
    • Financial Systemsunmatched
    • Health Insuranceunmatched
    • Healthcareunmatched
    • Internet Applicationunmatched
    • Knowledge Transferunmatched
    • Leadershipunmatched
    • Microsoft Excelunmatched
    • Microsoft Outlookunmatched
    • Microsoft Wordunmatched
    • Past Due Accountsunmatched
    • Peoplesoftunmatched
    • Problem Solving Skillsunmatched
    • Process Developmentunmatched
    • Process Flowunmatched
    • Process Improvementunmatched
    • Product Managementunmatched
    • Project/Program Managementunmatched
    • Reconciliationunmatched
    • Regulationsunmatched
    • Root Cause Analysisunmatched
    • Sales Managementunmatched
    • Systems Administration/Managementunmatched
    • Systems Analysisunmatched
    • Team Playerunmatched
    • Test Requirementsunmatched
    • Training/Teachingunmatched
    • Trend Analysisunmatched
    • Underwritingunmatched
    • Variance Analysisunmatched

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Resume Builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Resume Builder