Membership Accounting & Reconciliation Supervisor

Minneapolis, Minnesota
Mar 14, 2018
Apr 03, 2018
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 to hire, supervise, mentor and coach a team of Billing specialists and representatives.  Ensure proper training is received and provide timely feedback of staff performance. Manage team to meet departmental service levels and contractual obligations. Complete monthly reporting duties.  Lead the billing, enrollment and reconciliation function and processes.  This includes overseeing day to day functions and processes across Medicare, State Public Programs, MSHO, Duals and Commercial-Exchange - processing daily, monthly and annual State (MNsure), DOC, DHS and CMS processes, service forms and support processes and programs. Reconcile various components of CMS and DHS payments, reconcile payments to Brokers and accurately record the activity in UCare's financial statements.    Provide ongoing support to day to day key functions and initiatives of business unit.  Monitor and maintain department procedures and internal controls in compliance with contractual and regulatory requirements. Promote an environment where customer satisfaction and process accuracy are the primary focus of staff efforts and output.  Assure compliance with state, federal, and contractual requirements. Monitor the training of employees, monitor and coach staff. Represent department in cross-functional projects or initiatives. Maintain cost and operationally effective billing and enrollment processes.    Provide back up for Managers and department Supervisors.

·Recruit, interview and select new staff.

·Monitor, develop and coach members of the team including maintaining the daily schedules and work flow.  Drive performance by providing consistent feedback on performance in a timely manner. Conduct at least monthly one-on-one with Representatives and Specialists.

·Provide production support and vendor oversight for critical business functions such as loading of files, invoicing, reconciliation, delinquency and regulatory analysis and hearings.

·Partner with appropriate UCare Leaders to resolve cross-functional issues and ensure consistency across team as appropriate. 

·Ensure adherence to all departmental and contractual obligations, including service levels. Complete a monthly report of department activities, issues and accomplishments. Participate in department benchmarking, best practice and forecasting efforts.  Ensure timely completion of department plan activities. 

·Support development and maintenance of department policies, procedures and step by steps consistent with the goals and objectives of the department. Review and update as appropriate at least annually. Communicate changes in procedures and SBSs to staff, QA and management in a timely manner.

·Maintain an operational knowledge of all applications, systems and required sites/applications (i.e. ikaHIX, ikaGateway, ikaBilling, Amisys MARX, MNits).  Assist in the assessment and resolution of computer system issues.

·Coordinate with Manager and Accounting staff to support the monthly analysis of revenue fluctuations and support required statutory reporting.

·Assist with the development of staff goals and performance measurements.

·Effectively and appropriately communicate issues and trends to deparment and UCare Leaders.

·Collaborate with Department trainer and QA, ensure that training for the Billing and Enrollment team is developed, presented and evaluated.

·Assist the Department Manager(s) with the facilitation of department meetings (including development of the agenda, presentation of information).

·Participate in designated cross department work groups.

·Other projects and duties as assigned.


Associate or Bachelor's degree in business, healthcare or leadership preferred; demonstrated experience may be considered in lieu of degree. 

Required Experience

Two years supervisory or leadership experience in Billing or Enrollment or health plan operations environment. Two years operations or customer service leadership experience in an operations environment. Demonstrated ability to develop and motivate employees to reach individual and team goals. Strong working knowledge of products (Medicare, State Public Programs, Duals and Exchange), functions and processes in an operations environment and tools. Advanced computer skills specifically in Excel and Access.

Preferred Experience

Experience with coaching, quality monitoring, training, and day to day required process and functions in billing and enrollment operations environment. Knowledge of health insurance industry and regulatory requirements. Working knowledge of State Public Programs, Medicare, and Commercial Markets.


UCare is proud to be a recognized Star Tribune Top Workplace for the 8th 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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