Lumeris Billing Specialist in St. Louis, Missouri

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Position:

Billing Specialist

Position Summary:

The Billing Specialist is responsible for the member billing and collection efforts for the Company’s multiple clients. In performing your duties, you will work closely with our customer service, enrollment, and technology departments to provide timely and high-quality service to our clients. In addition, you will work closely with your peers in accounting and finance to provide necessary information for month-end close and analysis.

Job Description:

Role and Responsibilities

  • Member Billing: Handle the monthly billing process from start to finish, including printing and mailing of monthly premium invoices to members, monitoring outstanding member balances, issuing refunds to members, and monitoring the use of different payment options by members.

  • Customer Service: Serve as a resource for the Customer Service department in responding to member’s premium billing questions.

  • Compliance: Ensure the Company is in compliance with Center for Medicare and Medicaid Services (CMS) rules and regulations as they relate to each of the items above.

  • Audit: Assist in compiling information for CMS, Department of Insurance (DOI), and external audits.

  • Reports: Prepare reports for management regarding the Company’s collections and write-off efforts.

Experience, Qualifications, and Education

  • Associates degree in accounting, finance, or related field required; Bachelor’s degree in related field preferred

  • At least 2-4 years of billing and collections experience (preferably in the healthcare, insurance or software technology industry)

  • PC skills, Microsoft Office programs, strong Excel skills and ability to learn new and complex computer system applications

  • Third Party Administrator experience a huge plus

  • Experience working with cross functional departments to research and resolve issues

  • Self-motivated with ability to drive tasks to completion

  • Excellent problem solving and analytical skills

  • Excellent verbal and written communication skills

  • Facets experience a plus

  • Required to pass a credit check

Lumeris is an EEO/AA employer M/F/V/D.

Location:

St. Louis, MO

Time Type:

Full time

Status:

XL - FT

Join Our Growing Team!

Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs). Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care.

Over the past seven years, we have tripled in size to more than 800 employees and built the only solution on the market with our proven outcomes. For the past six years, Essence Healthcare, a long-standing Lumeris client, has received 4.5 Stars or higher from the Centers for Medicare and Medicaid Services (CMS). Essence Healthcare was Lumeris’ pioneer client and has been leveraging Lumeris for more than a decade to operate its Medicare Advantage plans, which serve more than 60,000 Medicare beneficiaries in various counties throughout Missouri and southern Illinois.

In 2018, Lumeris was named Best in KLAS for Value-Based Care Managed Services in the area of client-reported impact on the Triple Aim by KLAS Research. This was the third year in a row Lumeris received the award, and it has only been given for three years. As the industry’s most reliable and effective partner for developing population health management solutions, our success is driving tremendous growth in our company. Join us today in making a real difference in how healthcare is delivered!

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.