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Senior Billing Premium Consultant

Primary Location: High Point, North Carolina
Additional Locations: CT-Hartford, FL-Sunrise, NC-High Point
Provide Plan Sponsors with accurate bills and ensure dues are finalized and money is collected and allocated across benefits and structure. Work to improve financial results by reducing losses associated with non-payment. Act as a subject matter expert for internal and external constituents.

Fundamental Components:
Reviews Plan Sponsor member listings, Plan Sponsor (or individual member) payments, and/or terminations and compares to actual billing statement to identify and resolve discrepancies.Monitors, researches, and resolves collection of outstanding premium or revenue adjustment issues and reports corrections to appropriate contact; Resolution activity related to delinquent accounts may involve verbal and/or written communications with customers and other key internal business areas. Ensures all manual adjustments, refunds, and write-offs are appropriately submitted, adhering to policy guidelines.Validates and updates Self Insured Revenue forecasting information and trends. Coordinates validation of eligibility on fully insured and/or self-insured customers.Applies technical policy, legislation, Plan Sponsor account structure and benefit information to decisions.Codes rates and structure on new cases and renewals/revisions, in system to provide customer with accurate and timely invoices and to send data to downstream systems.Ensures that remittances are posted accurately across various benefits and account structure and reconciles customer remittances; Related activities may include negotiating payment schedules and settlements.Identifies and determines appropriate treatment of overdue accounts and coordinates collection and cancellation of overdue customers in accordance with pre-established market segment process.Consults with internal/external customers to identify accurate account structure, billing format method and payment arrangements to meet customer expectations.May serve or provide technical SME support to the team/unit. Provides assistance and/or mentor internal and external constituents.Reviews Non-Admit reports to ensure that Plan Sponsor’s balances are within statutory guidelines.Identifies electronic media prospects as it relates to premium payment back up and routinely contact and follow up with potential electronic candidates and finalizes electronic workflows with Plan Sponsor and/or vendor.Communicates and negotiates with Fortune 500 customers for prompt and accurate payment of amounts due. Researches, resolves and responds to eligibility and/or billing inquiries/member issues generated from Plan Sponsor, third party vendor, Member Services or marketing office.Answers questions and resolves issues based on phone calls/letters from Plan Sponsors and internal constituents. May provide assistance with phone queue (800 number lines).

Background Experience:
Financial experience a plus. College degree in Accounting or Finance preferred.

Additional Job Information:
Ability to analyze financial information and reports.Ability to prioritize tasks/work effectively.Strong verbal and written communication skills.Strong organization skills.Math and accounting skills.Problem solving skills.Attention to detail and accuracy.

Required Skills:
General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, General Business - Maximizing Work Practices

Desired Skills:
Service - Case Administration, Service - Creating a Differentiated Service Experience, Service - Providing Solutions to Constituent Needs

Potential Telework Position:

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests

Click To Review Our Benefits (PDF)


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