Lead Billing and A​/R Billing Representative

Troy, NY, USA

Who are we?

Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we believe that everyone has the power to become anything they set their sights on.

See how you can make a difference with the support of strong leadership and a team environment.

Versant Health:
Making Healthy Vision a Reality for Everyone

What are we looking for?

The primary scope of this position includes the oversight and production of billing statements in a variety of formats and frequencies, reconciling and auditing accounts, and assisting internal staff, and external clients with questions and concerns.

The Lead Billing and A/R Representative provides effective communication with clients, vendor and staff, while handling inquiries and issues in a courteous, professional and timely manner in a fast-paced environment. This position will act as the liaison between department leadership, billing vendor and the Billing and Accounts Receivable staff members.

Where you will have an impact

• Responsible for training Billing staff for the bill creation and delivery tasks for all premium, ASO and FFS customers on HSP.
• Manage manual invoicing of ASO commercial customers.
• Create system invoices for customers based on existing schedule, ensure appropriate creation and customer delivery via portal or print is completed.
• Point of contact for escalations of all billing, accounts receivable, collections related topics.
• Provide onsite guidance, training and direction to Billing staff members as necessary
• Work closely with clients, brokers and TPAs to assist in problem resolution, concerns regarding billing, statements and eligibility issues
• Manage the new group first invoice process and review
• Manage the group termination process to manage receivables to resolution, completion of refunds, balance collection and write-offs as appropriate.
• Complete system testing for all billing, collections and accounts receivable related system and code upgrades, disaster recovery testing, and system changes.
• Support all corporate projects to represent billing, accounts receivable, and balance related topics.
• Research, reconcile, audit, resolve and make adjustments on accounts
• Serve as the SME for all billing and accounts receivable management topics to support training and education of vendor staff, billing team members and other department staff members.
• Call or email past due accounts for collection as necessary.
• Manage all established SOC controls in accordance with defined expectations, monitoring weekly to ensure proper completion of tasks and retention of evidence of controls is completed. Monthly review and confirmation of controls completion and adherence required.
• Assist in the setup of accounts for “new” clients to achieve their billing needs
• Establish work procedures and processes for Billing and Accounts Receivable Department that support company and departmental standards and strategic directives
• Effectively communicate with internal departments on issues
• Regular reliable attendance is required
• Completes Refund requests where necessary for active or inactive customers with credit balances that cannot be resolved otherwise.
• Perform other duties as assigned by leadership to support the overall success of the Billing and Accounts Receivable Department.

What’s necessary to do the job?

• High school Diploma/GED or equivalent
• Bachelor’s or Associate…