Blue Cross Blue Shield of Arizona
Phoenix, Arizona, United States
Premium Reconciliation Review Tech
Job Description
Blue Cross Blue Shield of Arizona is a local, independent Blue Cross Blue Shield Association and a not-for-profit health insurance company headquartered in Phoenix. Founded in 1939, the company has more than 1,800 dedicated employees throughout its Phoenix, Tucson, Chandler and Flagstaff offices. Providing health insurance products, services and networks to more than 1 million Arizonans, Blue Cross Blue Shield of Arizona offers various health plans for individuals, families, and small and large businesses. Blue Cross Blue Shield of Arizona also offers Medicare supplement plans to individuals over age 65.
Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
For Internal Use Only*
Paygrade Levels: I
Grade Levels 12
Purpose of the Job
* Responsible for the review and approval of group and individual premium account reconciliations. Performing release of transactions in appropriate systems based on corporate release standards.
Essential Job Functions & Responsibilities
LEVEL 1
* Review balance due and credit letters for accuracy and approve audits in appropriate system.
* Review and release premium refunds for group and individual business.
* Adhere to financial approval and departmental policies for approval levels.
* Approve and finalize VAT transaction overrides.
* Perform reconciliations on small group and individual member accounts in compliance with the Membership Billing Representative or Premium Billing Technician desk procedures.
LEVEL 2
* Perform Large Group Reconciliations using all methods of recon including compare, GPR and manual reconciliations for groups sized 1000+
* Perform all functions of a Membership and Billing Representative on assigned book of 100+ business.
* Back up Sr. Revenue Technician for termination and delinquent processes on group business.
* Perform in-depth review of all 100+ groups on quarterly basis.
* Main contact and coordinator for claims staff regarding aging paid to date issues.
ALL LEVELS
* Each progressive level includes the ability to perform the essential functions of any lower levels.
* The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
* Perform all other duties as assigned.
Qualifications:
REQUIRED QUALIFICATIONS
1. Required Work Experience
* 1 year(s) of experience in accounting/bookkeeping field (Applies to All Levels)
2. Required Education
* High-School Diploma or GED in general field of study (Applies to All Levels)
3. Required Licenses
* N/A
4. Required Certifications
* N/A
PREFERRED QUALIFICATIONS
1. Preferred Work Experience
* 4 year(s) of experience in accounting/accounts receivable or enrollment field (Applies to All Levels)
2. Preferred Education
* Associate's Degree in Accounting field of study (Applies to All Levels)
3. Preferred Licenses
* N/A
4. Preferred Certifications
* N/A
Competencies
REQUIRED COMPETENCIES
1. Required Job Skills
* Intermediate skill in use of office equipment, including copies, fax machines, scanner and telephones (All Levels)
* Intermediate PC proficiency (Applies to All Levels)
* Intermediate proficiency in spreadsheet, database and word processing software (Applies to All Levels)
* Type >35 words per minute with 5% error rate or less (Applies to All Levels)
2. Required Professional Competencies
* Maintain confidentiality and privacy (Applies to All Levels)
* Practice interpersonal and active listening to achieve high customer satisfaction (Applies to All Levels)
* Interpret and translate policies, procedures, programs and guidelines (Applies to All Levels)
* Capable of investigative and analytical research (Applies to All Levels)
* Navigate, gather, input and maintain data records in multiple system applications. (Applies to All Levels)
* Establish and maintain working relationships in a collaborative team environment (Applies to All Levels)
* Prioritize, organize and self-manage workload in a high volume department (Applies to All Levels)
3. Required Leadership Experience and Competencies
* N/A
PREFERRED COMPETENCIES
1. Preferred Job Skills
* Advanced knowledge of accounting practices (Applies to All Levels)
2. Preferred Professional Competencies
* Knowledge of a wide range of matters pertaining to the organization's operations (Applies to All Levels)
3. Preferred Leadership Experience and Competencies
* N/A
Our Commitment
BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank You
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
Imagine doing life-changing work and helping more than one million Arizonans live healthier and longer lives. Thats the kind of satisfaction youll find when you work here. Our exceptional teams in Phoenix, Tucson, Chandler, and Flagstaff have been transforming healthcare for more than 80 years. Explore what's possible with a career at Blue Cross BlueShield of Arizona