Individual Accounts Analyst

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Southfield, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: position summary,process,accounting,analysis,initiate,performance,call center,knowledge,degree,organization,experience,professional


Competitive Total Compensation Package

Overview: Responsible for integrity, accuracy, and servicing of individual billed commercial accounts through detailed analysis, research, problem-solving, and communicating with members, including amounts recorded to the general ledger for billed and disputed premiums. Provides excellent customer service to both internal and external customers through timely completion of work, accuracy, and follow-up. Respond to incoming calls via a call center environment.
Responsibilities: <ul> <li>Maintain accounts receivable database and/or reports for Blue Care Network individual coverage accounts for all products assigned.</li> <li>Respond to telephone inquiries in a call center environment.</li> <li>Prepare adjustments (write-offs, refunds, reversal reposts) for processing to accurately reflect entity account balances.</li> <li>Complete necessary correspondence for individual coverage billing and premium payments.</li> <li>Monitor assigned workflow queues and respond/complete within determined turnaround time.</li> <li>Research and resolve inquiries from individual members and Agents.</li> <li>Interact with internal and external departments to resolve issues and complete priority requests.</li> <li>Monitor paid to dates and reconciles invoice balances; document each contact using the specified BCN inquiry tracking system.</li> <li>Process ACH Authorization requests. Setup, update, and/or remove individual member banking information per member requests.</li> <li>Initiate and/or monitor the cancellation process for directly billed subscribers for premium non-payment and/or voluntary cancellations.</li> <li>Identify member APTC and/or eligibility discrepancies and escalate to the appropriate person and/or department for resolution.</li> <li>Process check by phone payments upon request or those received in the office.</li> <li>Analyze and identify potential problems and/or risks by offering process improvement and/or training solutions.</li> <li>Follow Attendance, and Adherence expectations related to the Accounts Receivable Department Protocols.</li> <li>Other duties may be assigned.</li> </ul>
Requirements: <ul> <li>Associates degree or two (2) years of full time college credits in business related discipline required.</li> <li>Knowledge of basic accounting and audit principals (GAAP) required.</li> <li>Two (2) years of cash applications, reconciliation, or financial analysis experience required.</li> <li>Excellent, verbal, written, interpersonal and customer service skills required.</li> <li>Knowledge of customer service techniques.</li> <li>Professional servicing skills required.</li> <li>High degree of complex evaluative, analytical, and problem solving skills required.</li> <li>Excellent organizational and time management skills with the ability to handle multiple projects and timelines, while working under minimal supervision required.</li> <li>Knowledge of department system screens directly related to subscriber payments (billing entity, billing summary, receipt history, subscriber family and rating screens) required.</li> <li>Knowledge of Microsoft Office Suite software required.</li> <li>Knowledge of underwriting principles and billing procedures preferred.</li> <li>Knowledge of NHCR and CMS guidelines preferred.</li> <li>Working knowledge of call center operations and ability to handle calls at varying capacities.</li> <li>Sound knowledge of BCN certificates and riders, in conjunction with eligibility, preferred.</li> <li>Working knowledge of eBilling preferred.</li> </ul> <div id="gtx-trans" style="position: absolute; left: -21px; top: 26px;">&nbsp;</div>