Auditor, Membership I

BlueCross BlueShield of South Carolina•Columbia, SC

40d•Onsite

About The Position

Summary 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. Description Logistics: This position is full-time (40 hours per week), with regular work hours from 8:30 AM to 5:00 PM, located onsite at 4101 Percival Road, Columbia, SC 29229. What You Will Do: Prepares monthly activity reporting for groups. Audits large and complex accounts. Prepares deposits of subscriber payments. Processes check runs 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.

Requirements

Required Education: Associate's Degree Equivalency: 2 years job related work experience
Required Work Experience: 1 year of experience in accounting, audit/compliance, or a combination of these.
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.
Required Software and Tools: Microsoft Office.

Nice To Haves

Preferred Education: Associate degree-in Accounting.
Preferred Software and Other Tools: Knowledge of computer and reporting systems and files - membership, billing, accounting. additional computer/reporting systems/files - AMMS, cobra, retiree software. Knowledge of underwriting rules/regulations, benefit structures, contracts.
Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software.

Responsibilities

Prepares monthly activity reporting for groups.
Audits large and complex accounts.
Prepares deposits of subscriber payments.
Processes check runs 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.

Benefits

401(k) retirement savings plan with company match.
Subsidized 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 major locations.
Wellness programs and healthy lifestyle premium discount.
Tuition assistance.
Service recognition.
Incentive Plan.
Merit Plan.
Continuing education funds for additional certifications and certification renewal.