Membership Auditor 1

Summary
 

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades, we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Description
 

Position Purpose: We are currently hiring a Membership Auditor I responsible for auditing group (small/large/complex) accounts to ensure premium payments and/or reimbursements are processed/reported in timely/accurate manner. Audits subscriber accounts to ensure premium payments are within grace period. Resolves billing/payment problems, adjudicates insufficient and/or incorrect payments back to subscribers. May serve as primary contact with group regarding monthly reporting activities.

Logistics: Blue Cross Blue Shield of South Carolina

Location: This position is full-time Monday-Friday, 8:00 am-4:30 pm in a typical office environment, and will be onsite at 4101 Percival Road, Columbia, SC 29229. During an open enrollment, there will be times of mandatory overtime depending on the work volume.

What You'll Do:

• Prepares monthly activity reporting for groups.
• Audits large and complex accounts.
• Prepares deposits of subscriber payments.
• Processes check run and writes member checks to cut reimbursements to subscribers.
• Resolves discrepancies noted from controllers.
• Processes refunds to subscribers.
• Responds accurately and timely to internal/external customers with regard to reporting and processing of premium payments and reimbursements.

To Qualify for This Position, You'll Need the Following:

• Required Education: Associates degree
• Degree Equivalency: 2 years job related work experience
• Required Experience: 1 year of experience in accounting, audit/compliance, or a combination of these.
• Required Software and Tools: Microsoft Office
• Required Skills and Abilities: Good judgment skills, effective customer service, organizational, problem-solving skills, demonstrated verbal and written communication skills, analytical or critical thinking skills.

We Prefer That You Have The Following:

·         Preferred Education: Associate Degree-in Accounting.

·         Preferred Experience: 1 year of customer service or billing experience.

·         Preferred Skills and Abilities: Knowledge of computer and reporting systems and files - membership, billing, accounting. additional computer/reporting systems/files - AMMS, cobra, retiree software.

·         Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software.

·         Work Environment: Typical office environment.

Our Comprehensive Benefits Package Includes The Following:

·         401(k) retirement savings plan with company match

·         Fantastic health plans and free vision coverage

·         Life insurance

·         Paid annual leave — the longer you work here, the more you earn

·         Nine paid holidays

·         On-site cafeterias and fitness centers in significant locations

·         Wellness programs and a healthy lifestyle premium discount

·         Tuition assistance

·         Service Recognition

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email[email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

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