Billing and Accounting Specialist Senior

Minneapolis, Minnesota
Jan 26, 2017
Mar 10, 2017
Employment Status
Full Time

Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.



At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.


Working at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do.


Position Description

This position is responsible for the accurate and timely processing of the Billing functions under UCare for Seniors, UCare's Medicare Risk product, Senior Select and UCare Choices/Fairview Choices - UCare's Exchange product.  Including, analyze the monthly aging report, prepare manual deposits and validate cash application for all lines of business; support Medicare Customer Service department, and review/update CMS demographic discrepancies.

·Maintain a production and quality level of 99% or better in Billing cash functions and a quality level of 95% or better in other Billing functions.

·Analyze the monthly aging reports to identify members that have delinquent premium.  Determine appropriate correspondence required by Chapter Two of the CMS Medicare Managed Care Manual and UCare's identified process for Exchange products.  Create and mail required member correspondence.  Validate correct proposed termiation notice is mailed to the correct members as well as termination submitted to CMS at the proper time each month.

·Identify member numbers and organize types of cash mailed or brought directly to UCare; preparing and scanning bank deposits into our banking system across all lines of business.

·Support the Customer Service department in researching, resolving and responding to complex premium billing issues, payment issues and dual eligible issues.

·Validate the cash posting balances with the daily bank deposit log.  Ensure all member payments received have been properly applied to members invoice and that payments balance with the bank deposit.

·Prepare member statements as requested by members to ensure accuracy of members balance in UCare's core operating system.

·Review and update CMS demographic discrepancies identified in the compare of the monthly MMR and data from UCare's eligibility preprocessing system.  Ensuring CMS stays in compliance with Chapter 2 of the CMS Medicare Managed Care Manual.

·Create and maintain clear step by step processes for each function.

·Support the process of entering member premium payments into UCare's core operating system and post to member accounts in an accurately within 72 hours of receipt from the bank.  Collaborate with the bank to resolve problems or errors resulting from lock box information.

·Support cash application clean up across all lines of business


·Maintain an understanding of the UCare's core operating computer system and other systems used in the day to day operations in the Billing Department.


·Maintain an understanding of Medicare and the specific components of UCare for Seniors and SeniorSelect.

·Assist in the departmental reporting functions from Membership Accounting to other departments within UCare, as needed.

·Other projects and duties as assigned. 


Two year degree or certificate in Business or Accounting preferred; demonstrated experience may be considered in lieu of degree.  

Required Experience

Three years of experience with accounts receivable processing and reconciliation.  Experience with data entry and accounting/billing principles. Intermediate Excel and Word skills.

Preferred Experience

Two years related billing experience within a health care environment.


UCare is proud to be a recognized Star Tribune Top Workplace for the 7th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.


Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers. At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

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