Enrollment & Billing Representative jobs in Irvine, CA

Who we are:

UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers - and better outcomes for our communities.

We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.

You Are:

UST HealthProof is looking for a Manager II of Commercial Health Insurance Enrolment & Billing. You will be responsible for overseeing and managing the enrolment and billing processes for the commercial lines of business. You will lead a team of enrolment and billing specialists to ensure accurate and timely enrolment of members and premium billing.

The Opportunity:

* Develop and implement enrolment and billing procedures and workflows for clients consistent with client specified guidelines

* Monitor enrolment and billing related operational trends and identify opportunities for process improvements

* Partner with cross functional operational teams to analyze enrollment and billing information and recommend solutions

* Implement new processes, technologies, and systems to improve and streamline enrolment processes and resource utilization

* Develop and execute strategies to achieve key performance measures

* Monitor regulatory guidelines for impact to commercial enrolment and billing processes and take appropriate action

* Comply with the organization's Code of Conduct, policies, procedures, and internal controls

* Comply with all regulatory and contractual requirements

What you need:

* At least 7 years of progressive management experience in the management of commercial enrolment and billing

* A thorough understanding of commercial enrolment and billing related guidelines

* Effective communications including the ability to obtain clear information and remove ambiguity as needed to arrive at shared expectations

* An advanced ability to approach problems as challenges and deal with them constructively and promoting this approach with all team members

* Well-developed organizational habits and toolkits * Build partner relationships for the benefit of the organization

* Expertise in MS Word, Excel, PowerPoint, MS Visio, MS

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by applicable law, UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: REMOTE
Compensation Range: $74,000 - $110,000

What we believe:

We're proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we've been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.

Humility:

We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

Humanity:

Through business, we will better the lives of those less fortunate than ourselves.

Integrity:

We honor our commitments and act with responsibility in all our relationships.

Equal Employment Opportunity Statement

UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.