Note: The job is a remote job and is open to candidates in USA. VSP Vision is a company focused on providing quality vision care solutions. They are seeking an Enrollment & Billing Administrator to perform administrative functions for TPA clients, including billing, enrollment, and compliance with COBRA laws.
Responsibilities
- With supervision, performs individual administrative functions for Premier TPA clients including installation, maintenance, enrollment, billing, COBRA, research, analysis and problem resolution
- Gather, analyze, and interpret client requirements. Recommend administrative solutions to meet the client’s unique requirements for individual billing and enrollment
- Install new and renewing clients in VSP’s individual billing system, input rates to generate member bills, and track receivables
- Ensure accurate and timely posting of all Accounts Receivables
- Establish and maintain automatic payments, post and reconcile member payments, and balance daily posting to prepare bank deposits
- Support open enrollment for clients by validating member communications and providing Customer Care with Client Detail Pages so that CSRs are informed of client’s eligibility requirements
- Process enrollments in the Open Enrollment Application and troubleshoot any eligibility or system issues related to the enrollment process
- Act as point of contact for inquiries from business partners (internal and external) and members regarding questions about individual billing, open enrollment, and COBRA administration
- Monitor numerous departmental reports to validate and reconcile client information, member eligibility, and revenue applications
- Document and develop client exception processes for Client Financial Services and Customer Care. Identify opportunities to leverage new tools and/or technology to enhance or replace existing client exception processes
- Coordinate with business partners to resolve enrollment and billing issues by conducting routine audits. Implement resolutions
- Interpret COBRA laws and make recommendations to ensure VSP’s administration and policies are in compliance. Research and respond verbally and in writing to inquiries regarding eligibility and VSP’s policies regarding COBRA legislation
Skills
- Two years of experience in a position with duties that combine customer service and financial or numeric skills
- Knowledge of COBRA law, policies, and administrative practices
- Ability to perform detailed work with numerical data and to make arithmetic computations accurately
- Strong math skills in order to identify and interpret patterns and trends in numbers
- Experience handling, posting, and balancing cash or premiums
- Strong organizational skills for setting work priorities and managing a high volume of information from multiple sources
- Demonstrated ability to identify and resolve complex problems requiring changes in priorities and workflow, or partnering with other business areas
- Proficient ability to use word processing, spreadsheet, and database applications including building files, writing formulas, combining columns, running queries and reports, and mainframe applications
- Excellent verbal and written communication skills
- Clean credit history as reported by credit report
- Ability to type 35 wpm
- Ability to perform 10-key by touch (6,000 ksph)
- Ability to key both alpha and numeric (6,000 ksph)
- For roles that are remote (i.e., Work From Home (WFM)) or hybrid (i.e., partial onsite at a VSP location and WFM), must demonstrate a high level of engagement in virtual environments, including maintaining camera presence during meetings to support effective communication and team alignment
Company Overview