Resp & Qualifications

PURPOSE: 
Responsible for maintaining admin rates, preparing and delivering invoices to bring in revenue for the organization.  This includes establishing and following required technical specifications, managing the accuracy and efficiency of the established process as well as identifying and resolving data and setup issues as it relates to internal billing systems.  The incumbent is also responsible for remitting payment to client vendors within proper timeframes to ensure late fees are not charged. 

ESSENTIAL FUNCTIONS:

• Compiles, validates and supports financial data for upload to financial systems to ensure accuracy of financial statements. Establishes and maintains comprehensive Excel spreadsheets for cash application and reconciliation to daily bank statements to ensure the bank and internal financial systems are in sync. Audits ancillary vendor payments to ensure accuracy of remittances.  This involves ensuring that the rates are accurate, mapping of fields correspond to internal financial systems, and customizations are linked.
• Establishes and maintains relationships with Points of Contact (POC) at account and vendor levels.  Have a solid and in depth understanding of the client product requirements and be able to effectively establish and maintain rate requirements needed to implement accounts.  Responsible for troubleshooting admin rate discrepancies and vendors accounts to ensure all rates/payments are clearly communicated and supported.
• Responsible for monitoring and tracking manual billing data as well as enrollment system updates.  Provides regular progress reports for internal and external stakeholders when appropriate.  Creates AdHoc queries and reports by request.  Supports external audit requests when required.
• Troubleshoots user system issues.  Works with vendors, account management and technical resources to track and correct identified issues in a timely manner.   Develops solutions and recommends workarounds to solve low to mid-complexity technical and/or business issues.  Ensures that appropriate controls exist, are efficient and accurate and in compliance with organization standards.  Works with internal and external stakeholders to track and resolve issues as required.
• Conducts user acceptance testing for vendor change requests and for scheduled system releases to identify defects and ensure proper resolution prior to sign off for production.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Accounting, Finance or other math related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 2 years' Experience in an accounting, business or finance role.

Knowledge, Skills and Abilities (KSAs)

• Data entry skills with a knack for numbers.
• Highly proficient in Microsoft Office programs.
• Skill in completing assignments accurately and with attention to detail.
• Excellent communication skills both written and verbal.
• Knowledge of spreadsheets and appropriate software.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $50,760 - $100,815

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Large Group Billing

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship