Auditor, Membership I

BlueCross BlueShield of South Carolina•Columbia, SC

4d•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. To Qualify for This Position, You Will Need the following: 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. What We Prefer That You Have the following: 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. Work Environment: Typical office environment. Our Comprehensive Benefits Package includes the following: 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. 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 a recruiter to verify resume specifics and salary requirements. Management will be conducting 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. Some states have required notifications. Here's more information. If you don’t have an account with us and don’t see the dream job you are looking for, click on the link above to Join Our Talent Community by submitting your resume and contact information and we will reach out if we find a good fit. Welcome Here’s Your Smart Career Move 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. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+ (Superior) — making us the only health insurance company in South Carolina with that rating. We’re 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 a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Veterans Welcome! BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., at Ft. Jackson. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty. Join Us If you're ready to join in a diverse company with secure, community roots and an innovative future, apply for a position now!

Requirements

Associate's Degree Equivalency: 2 years job related work experience
1 year of experience in accounting, audit/compliance, or a combination of these.
Good judgment skills.
Effective customer service, organizational, problem solving skills.
Demonstrated verbal and written communication skills.
Analytical or critical thinking skills.
Microsoft Office.

Nice To Haves

Associate degree-in Accounting.
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.
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.