Billing & Reconcilliation Specialist II
- Employer
- Blue Cross Blue Shield of ND
- Location
- Fargo
- Salary
- Join our team!
View more
- Industry
- Office and Administration
- Role
- Administrative
- Job Type
- Long-Term
- Hours
- Full Time
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Job Details
The Billing and Reconciliation Specialist II is responsible for providing accurate and timely premium billings to 700+ employer groups, account reconciliation and accurately applying premium payments. This position answers all verbal and written inquires associated to billing and membership and updates membership records for Blue Cross Blue Shield of North Dakota (BCBSND) and its affiliates, enabling claims to be paid accurately and promptly. The Billing and Reconciliation Specialist II serves as a key contact for employer group leaders by providing assistance and education, especially as it relates to their accounts receivable with BCBNSD.
Essential Functions
Requirements
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.
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 7/30/2018 at 8:00AM CST. No further applications will be considered.
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.
Requirements
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.
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 7/30/2018 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
- https://www.bcbsnd.com/jobs/
- Location
-
4510 13th Ave. S.
Fargo
ND
58103
United States
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