Medicare Advantage Premium Billing Analyst

Description

As a member of the Medicare Advantage Operations team, the Medicare Advantage Premium Billing Analyst plays a vital role in ensuring accurate and timely processing of payments, reconciliation of member accounts, and issuance of invoices. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to maintain the integrity of member accounts. The ideal candidate will possess excellent communication skills and the ability to collaborate with various departments to address member issues promptly and implement ADHOC resolutions to ensure high-quality member care.

Responsibilities Include

• Understand and interpret State (CA DHS) and CMS files to ensure compliance with regulations
• Utilize knowledge of finance, accounting, bookkeeping, and medical billing procedures to perform tasks effectively
• Process payments and reconcile member accounts accurately and efficiently
• Investigate and resolve payment discrepancies promptly
• Understand and contribute to enrollment operations, Medicare membership enrollment, and reconciliation processes
  
  

Salary Range: $28.23 - $40.44 Hourly

Note: This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.