UCare

MBE Billing Representative Senior

Employer
UCare
Location
Minneapolis, Minnesota
Posted
May 04, 2022
Closes
May 21, 2022
Ref
2966
Category
Healthcare
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 600,000 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.

Rewards

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.

www.ucare.org/careers/

EOE/AA

ABOUT UCARE

UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE

Working at UCare is more than 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. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 12 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

MBE BILLING REPRESENTATIVE SENIOR

Work Location: Standard or Hybrid (in the office 3 or more days per week)

The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting at UCare, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.

Position Description

This position is responsible for billing processes with a moderate level of complexity. Meet the needs of the department through distribution of workload and a focus on timely, accurate deliverables. Research, monitor data, data entry and reconciliation needed to update member financial records appropriately. Must maintain a thorough understanding of the billing processes and systems be able to support Billing Reps as requested. Senior staff will be on assigned to a product team as their primary focus; however, work will not be restricted to one product depending on the department needs.

• Maintain a thorough understanding of duties and responsibilities of the Billing and Accounting Representative role to ensure appropriate back up support as requested.

• Ensure manual checks and deposits are processed in a timely fashion. Prepare and process refunds.

• Oversee Aging processes; including cash clean up, status updates, coverage period cleanup, debit and/or credit termed aging, term/prop processing, compares and delinquency.

• Process Monthly EFT Auto Pull, EFT/ACH File Returns, EFT Aging, and process the EFT File.

• Process manual adjustments.

• Process MNSure Recon, queue related to reconciliation and keying bad debt/balancing; including create the bad debt spreadsheet.

• Support billing and invoicing processes; including, validate the cash posting balances with the daily bank deposit log. Ensure member payments received have been properly applied to members invoice and that payments balance with the bank deposit, complete the error reports pertaining to EFT account information, ensure that the data received is accurate and active, validate the cash posting balances with the daily bank deposit log, when responses are received from the vendor, submit the appropriate change to CMS, track for return on TRR and send appropriate correspondence to member, analyze the monthly aging reports to identify members that have delinquent premium. Create and mail required member correspondence. Validate correct proposed termination notice is mailed to the correct members as well as termination submitted to CMS at the proper time each month and support cash application clean up across all lines of business.

• Manage Service Forms and member correspondence. Report trends/issues and assist in developing solutions.

• Research system issues, working to address discrepancies as identified and manage standard reports.

• Participate in process and quality improvement, department initiatives/plan and employee engagement. Provide input into department policies and procedures, including creating and maintaining Step by Steps work instructions.

• Ensure department meets expectations by participating in Quality Assurance reviews.

• Assist in departmental reporting and communication to other UCare departments.

• Other projects and duties as assigned.

Education

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

Required Experience

Three years experience in a health insurance plan. Knowledge of Microsoft Office products, intermediate skill level with Excel spreadsheets. Experience in researching and resolving complex issues. Phone experience.

Preferred Experience

Proficient computer skills; Advanced Skill level with Excel (utilization of formulas and V-look ups); and MACESS type software packages.

THE UCARE DIFFERENCE

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, 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.

JOB POST DATE: 5/3/2022

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