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Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.
By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve.
We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. Position Summary : Alignment Healthcare is seeking a premium billing representative to manage the premium billing activities for the enrollment department.
Premium billing includes producing and sending monthly statements, reviewing payments made, reconciling and collecting outstanding accounts.
This position serves as the first point of contact for questions from individuals regarding premium invoices. In addition, the PBA is responsible for maintaining the Centers of Medicare and Medicaid Services (CMS) timeliness, quality standards, policies and procedures.
As a premium billing representative, you will assist with establishing and maintaining interdepartmental workflow, developing and implementing policies to improve the quality, timeliness and accuracy of information, throughout the organization and for providing reporting and data validation services.
General Duties / Responsibilities : (May include but are not limited to)
The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Minimum Experience : 1. Minimum 1-year experience in a health maintenance organization (HMO) 2. Experience with HMO or Medicare Advantage Prescription Drug Plan (MA-PD) preferred 3.
Minimum 2 years' experience with financial analysis, accounts receivable, and / or premium billing preferred 4. Experience with CMS requirements for premium billing 5.
Proficiency with Microsoft Office Suite of products (Word, Excel, Access, etc.) 2. Education / Licensure : 1. 1. High school diploma required.
Bachelor's degree (preferred) 1. Other : 1. Language Skills : Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to write routine reports and correspondence. Able to speak effectively before groups of customers or employees of the organization.
2. Mathematical Skills : Able to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance.
3. Reasoning Skills : Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations. 4. Computer Skills : Basic skills required.
9. Possess ability to prioritize 10. Possess excellent problem-solving skills 11. Able to reason and carry out instructions.
12. Able to complete tasks in a timely manner 13. Able to type minimum 45 words per minute. 14. Proficient data entry skills 15.
Able to file systematically. 16. Self-motivated 17. Self-starter and able to work independently 1. Work Environment 2. 1.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to sit;
use hands to finger, handle, or feel and talk or hear. 2. The employee is frequently required to reach with hands and arms.
3. The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch, or crawl. 4. The employee must occasionally lift and / or move up to 30 pounds.
5. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Last updated : 2024-05-19
Full Time
$45k-57k (estimate)
05/20/2024
05/25/2024
The job skills required for Billing representative include Billing, Accounts Receivable, Microsoft Office, Data Entry, Problem Solving, Innovation, etc. Having related job skills and expertise will give you an advantage when applying to be a Billing representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Billing representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Billing representative positions, which can be used as a reference in future career path planning. As a Billing representative, it can be promoted into senior positions as a Billing Clerk II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing representative. You can explore the career advancement for a Billing representative below and select your interested title to get hiring information.
If you are interested in becoming a Billing Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Billing Representative for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Billing Representative job description and responsibilities
A billing representative assists with the overall operations of the organization's billing department.
02/24/2022: Trenton, NJ
Billing Representative is responsible for overseeing the billing process for customers or patients.
01/03/2022: Youngstown, OH
They also perform client accounts reconciliation as needed, monitor account receivables, review over dated balance, and notify clients of payment updates to ensure accurate and timely billing.
02/07/2022: Montgomery, AL
Moreover, a medical billing clerk must monitor patient accounts and follow-up on delinquent patient accounts, coordinating with collection agencies as needed.
02/03/2022: Las Vegas, NV
Billing representatives may provide counseling, alerting people to their obligations when they accept products and services and offering advice on reducing expenses.
02/28/2022: Gastonia, NC
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Billing Representative jobs
Many utilities, medical offices, and similar service providers use billing representatives to manage their billing and payment systems.
03/07/2022: New Suffolk, NY
Some employers are satisfied with a high school diploma and prior billing and collections experience.
03/11/2022: Hopkinsville, KY
Billing specialists can earn certifications to gain more practical knowledge of their daily responsibilities, test their professional skills and further advance their career.
01/02/2022: Milwaukee, WI
Billing specialists spend a lot of time seated behind a desk using office equipment such as computers, printers, fax machines, and office telephones.
02/12/2022: Alexandria, LA
Billing specialists have a wide variety of relevant certifications to choose from.
03/23/2022: Fresno, CA
Step 3: View the best colleges and universities for Billing Representative.