Premium Billing Specialist

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.

2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Working under general supervision, performs a wide variety of credit and collections activities to identify, monitor and cancel / reinstate delinquent accounts via telephone or correspondence, in an effort to achieve current payment status.

Works with corporate membership and cash control on invoicing and electronic billing. Performs manual processes required for Administrative Services Only (ASO) billing for all SDC groups.

This position has the option to work hybrid; Centerville, Ohio area residents preferred.

Responsibilities

• Reviews accuracy of premium collections for SDC fully insured and alternately funded group accounts. Works with Membership and Cash control to rectify errors.
• Monitors accounts with balances over 90 days for collection status in order to pursue collection of accounts. Contacts groups via phone and email to collect undue balances.
• Provides initial authorization of groups requesting reinstatement based on established credit guidelines and group's previous payment history.
• Reviews payments in CMS system and notifies Cash Control if transfers are to be made or corrections for misapplied payments.
• Evaluates membership, customer service, and accounts receivable systems to ensure proper payment of claims based on group's premium payment status.

Reconciles SDC to corporate accounting system.

• Maintains broker-related information in ACT and work with brokers to complete BAAs.
• Reviews monthly paid-to-date and cancellation reports, working with Specialty Account Managers to contact groups to rectify issues.
• Performs other duties as assigned.

Qualifications

Qualifications

Education and Experience

• Associate degree in business administration, finance, or related field or equivalent combination of education / training and experience.
• 3 years of experience in insurance premium billing and collections, or equivalent experience in financial services.

Technical Skills and Knowledge

• Knowledge of credit and collections processes and related legal proceedings.
• Intermediate Microsoft Office (Word, Excel, Access) and accounting systems skills.
• Good customer service and payment negotiation skills.
• Knowledge of general accounting principles.
• Knowledge of insurance premium billing processes.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees.

That's why we offer an exceptional package that includes :

A Great Place to Work :

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.

Enjoy the use of weights, cardio machines, locker rooms, classes and more.

• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation :

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work / life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You :

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual :

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors.

Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans.

We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.

Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community.

We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.