CareFirst Careers

Billing Technician II

Resp & Qualifications

PURPOSE:

This position is responsible for serving as first point of contact for internal and external customers regarding all billing and collection issues. The Billing Technician performs research and problem resolution as well as, overseeing the preparation and distribution of invoices for large group accounts. Additionally, the incumbent coordinates and provides assistance to external entities such as group administrators, third party administrators, and other key internal and external vendors.

POSITION RESPONSIBILITIES

The Billing Technician II has a thorough understanding of the CareFirst group set-up and member enrollment process, as well as the processing of rates into the system for account renewals in order to have the ability to request necessary updates and changes. Responsible for the resolution for an account’s expense accounting records and for providing support for existing systems by preparing invoices, obtaining billing approval, calculating incoming fees due, and ensures that billing issues are current and resolved. The incumbent may be required to assist with projects for upper management by providing analytical and reporting support for such purposes as: operational efficiency / quality metrics and productivity analysis, end-of-month accounts receivables reconciliation, and monthly account aging reports. The incumbent oversee account customizations and system migrations and keeps management personnel up-to-date on best practices related to the division by utilizing divisional systems to run reports, and extract data. The majority of accounts assigned under this level manage more complex accounts.

PRINCIPAL ACCOUNTABILITIES:

Under the direction of the Manager, Supervisor, the essential duties and responsibilities include, but are not limited to, the following:

Adjust A/R discrepancies; perform monthly reconciliations for the technician’s book of business; Provides accounting records, verification and analysis of rates in both the Nasco and Facets system, research, and support to the Cashier’s Office for proper allocation of cash payments received; Access, research, and analyze all cash related reports to identify payment discrepancies. Coordinates premium bills with the settlements area when applicable.  Attends conference calls and account meetings; Provides best practices and process improvements related to group set-up of new accounts; Monitors outstanding account balances as reflected on the Financial Aging Report to ensure that profitability measures are met and maintained; Prepares account summaries / reconciliations of outstanding receivable balances; Reviews invoice retroactive eligibility and discrepancy requests; Prepare and perform detailed analysis of several Financial related reports for accuracy and validity. Follow the collections processes regarding delinquent accounts.

Prepare, analyze, and issue monthly, quarterly, and annual billing ad-hoc reports; Utilizes group product and benefit structures; Pulls reports and bills and uses this information to produce various metrics related to the Divisions CMTM metrics; Evaluates, maintains, and improves the efficiency of the unit by helping to train new associates on new procedures, policies, and paperwork; Assist with other special projects as assigned by management. Expected to take a lead role in the implementation of new business as well as migrating business to the large group platform.


Actively participates in special projects and corporate initiatives as assigned by management. Assists in presentations, meeting deadlines, and remaining within budget restraints as it relates to OT and supply ordering; Verify and audit new account set-ups entered by the LGIT team pertaining to group rates, underwriting, and benefit screens. Assist in the training of new staff members.


QUALIFICATION REQUIREMENTS:

Required: 
High School Diploma and 2 years’ experience in a Billing, membership enrollment, member services, claims or Finance related field

Abilities/Skills:  Excellent oral and written communication skills, mathematical, PC literacy, keyboard, and problem solving skills.  Can handle multiple and shifting priorities. Must be proficient of Microsoft EXCEL, Word, and PowerPoint. Strong analytical and problem solving skills.

Preferred: 2-3 years of an accredited college in a Business or Finance related curriculum.


 

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.

Hire Range Disclaimer

Actual salary will be based on relevant job experience and work history.

Where To Apply

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

Closing Date

Please apply before: 12/8/2020

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

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