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Billing and Reconciliation Specialist

Employer
Blue Cross Blue Shield of ND
Location
Fargo, North Dakota
Salary
Join our team!

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Job Details

Essential Functions
  • Researches and analyzes all verbal and written billing and membership inquiries from group contacts, third party administrators, brokers, or internal departments regarding employer group billing and membership data and updates records as required.
  • Researches and resolves discrepancies reported through electronic files.
  • Handles billing and membership phone inquiries, emails, faxes and written correspondence.
  • Documents and retains inquiry documentation under organizational record retention policies.
  • Updates Medicare and COBRA limits as needed to designate who should be primary payer.
  • Analyzes payments submitted from the employer group in effort to balance their accounts receivable.
  • Identifies and resolves discrepancies by communicating with group leaders, third party administrators, brokers, marketing or other internal staff.
  • Makes adjustments to, adds or removes members to groups, plus changes coverage or member information if appropriate and documents the action taken.
  • Applies payments to the appropriate accounts receivable group and determines the outstanding adjustments.
  • Prepares a detailed explanation of these adjustments for the group.
  • Schedules computer generated billing statements.
  • Reviews billing statements for accuracy, including monitoring reports for groups not billed, and verification of rates and coverage changes made to a group through the renewal process and through applications for new or change coverage.
  • Processes detailed explanations of outstanding adjustments and prepares billing statements for mailing.

 

Knowledge, Skills and Abilities

Attention to Detail and Accuracy

Basic

Technical/Professional Knowledge and Skills

Basic

Attention to Detail and Accuracy

Intermediate

Customer Interaction

Basic

Time and Resource Management

Basic

 

Education Requirements

Required: High School Diploma/GED

Preferred: Associate's

Field(s) of Study: Accounting, Business or related field

 

Experience Requirements

Required: Minimum of 1 Year

Preferred: Minimum of 1 Year

Experience Details: Minimum of 1 year of accounts receive, accounts payable, customer service or related experience is required.

 

Certification, Licensures & Registration Requirements

Title: N/A

State or Agency: N/A

 

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Other Information

Job Posting Policy 6.05

New employees with Blue Cross Blue Shield of North Dakota will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

Equal Opportunity Employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email careers@bcbsnd.com

This job posting will be closed 1/25/2021 at 8:00AM CST. No further applications will be considered.

Company

TWO WORDS – MEMBERS FIRST.

That sums up why we’re here. And according to member satisfaction surveys, 95.6% say we’ve done a great job at maintaining that focus.

With that said, there are still mountains to move. America’s health care system needs an overhaul and Blue Cross Blue Shield of North Dakota is taking a lead role. To accomplish that, we need BOLD people who believe they can make an impact.

Are you ready to shake up an industry?

If you’re passionate about taking on our nation’s number one health care concern, there may be a place for you on one of our teams.

Company info
Website
Location
4510 13th Ave. S.
Fargo
ND
58103
United States

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