Aria Care Partners

ESSENTIAL DUTIES:

• Generate the monthly policy billing statements, fee for service bills, and partner bills
• Supervise the Policy Administration team including training, coaching, monitoring productivity and evaluating performance
• Work with the Revenue Cycle Management department to resolve billing discrepancies on customer accounts
• Generate and reconcile reporting to partners and TPA customers
• Assist with cash application and problem solving when necessary
• Print customer refund checks as submitted by the Revenue Cycle Management department and requested by the Policy Administration department
• Pull and post monthly ACH premium payments
• Perform monthly AR reconciliations and capitation reports for Partners and SDC TPA
• Research discrepancies between systems, interacting with third party insurance company and internal teams
• Develop and maintain procedures and training resources for the Policy Administration department that align with internal and third-party insurance company requirements
• Perform other duties as necessary

REQUIREMENTS:

• High school diploma or equivalent is required; an Associate’s or bachelor’s degree is preferred
• 2-4 years previous applicable experience

OTHER QUALIFICATIONS:

• Preferred skills - experience using Microsoft Office applications including Excel, Word, and Outlook
• Problem solving skills - strong analytical and critical thinking skills to identify problems and develop innovative solutions
• Customer service - responds promptly to requests for assistance and strives to continually improve service 
• Planning/organizing - the ability to manage multiple tasks to ensure that assignments are completed in a timely and productive manner
• Quality control/Attention to detail - demonstrates accuracy and thoroughness; monitors own work to ensure quality and applies feedback to improve performance
• Adaptability - adapts to changes in the work environment and is able to deal with frequent change, delays, or unexpected events
• Dependability - consistently at work and on time, follows instructions, takes responsibility for own actions, responds to management direction
• Efficiency - the ability to process the required amount of transactions in a timely manner without sacrificing quality
• Teamwork - Able to work in team environment
• Communication - Strong written and verbal communication skills