Membership Account Associate I

Blue Cross and Blue Shield of Kansas City • Kansas, IL

4d

About The Position

This role is primarily responsible for the timely and accurate setup, maintenance, billing and accounts receivable management for a portfolio of customer accounts. In doing so, this role works as part of a cohesive team dedicated to providing a level of service that consistently meets or exceeds customer expectations.

Requirements

• Associates level degree or combination of equivalent work experience.
• 2 years’ experience in one or more of the following areas: data reconciliation, member eligibility reconciliation, financial or account management reconciliation.
• Experience composing correspondence, reading and interpreting documents
• Experience dealing with and researching complex customer issues with successful resolution
• 3 years of previous customer service, member services, or claims processing experience; or any combination of required education and experience.
• Experience entering data quickly and accurately over a sustained period of time
• Intermediate knowledge of Microsoft Windows
• Intermediate level of skill with Microsoft Word and Excel
• Experience applying mathematical concepts to practical situations

Nice To Haves

• Bachelor's degree

Responsibilities

• Uses knowledge of company software tools (e.g., Facets, automated work distribution system, etc.) as well as relevant Federal and State regulations and/or company business rules to process member eligibility and billing related updates received electronically or via written correspondence.
• Maintain individual member and or group level accounts by processing, for example, refunds or discretionary billing requests transactions timely in order to keep receivable and payable accounts current.
• Consistent with established standards, complete assigned work timely and accurately.
• Follows and applies written instructions from established Standard Operating Procedures (SOPs), Start-up notes, remote and in-person training.
• Identifies non-routine eligibility and billing problems or process gaps and escalates to leadership timely to help resolve.
• Closely monitors assigned work and proactively keeps management apprised of processing issues or backlogs, as well as other related concerns.
• Proactively engages group contacts in an effort to strengthen the customer experience and resolve any issues in a timely manner.
• Conducts group training sessions with aid of a senior team member.
• Maintains group AR tracking and properly communicates delinquency issues to management.

Benefits

• Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
• Annual incentive bonus plan based on company achievement of goals
• Time away from work including paid holidays, paid time off and volunteer time off
• Professional development courses, mentorship opportunities, and tuition reimbursement program
• Paid parental leave and adoption leave with adoption financial assistance
• Employee discount program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 101-250 employees