Individual Accounts Analyst at Blue Cross Blue Shield of Michigan in Southfield, Michigan

Job Description:

**2nd posting, previous applicants do not need to reapply**

Non Exempt / Bargaining Unit Posting -  non exempt

Local / Seniority Unit- 1781

2nd Ddate posted- 7/16/21

2nd Deadline date- 7/23/21

Date Posted – 7/9/21

Deadline Date- 7/16/21

Job Title – Individual Account Analyst

Department - 142280 BCN Dir of Fin and AR

Salary Grade - UF - Please reference Appendix A of the BCBSM/BCN MLA

Job Code -

Number of Openings - 1

Status – regular FT           

Site- BCN Commons

Responsible for integrity, accuracy and servicing of individual billed commercial accounts through detailed analysis, research, problem solving and communicating with members, including amounts recorded to the general ledger for billed and disputed premiums. Provides excellent customer service to both internal and external customers through timely completion of work, accuracy and follow up. Respond to incoming calls via a call center environment.

• Maintain accounts receivable database and/or reports for Blue Care Network individual coverage accounts for all products assigned.


• Respond to telephone inquiries in a call center environment.


• Prepare adjustments (write offs, refunds, reversal reposts) for processing to accurately reflect entity account balances.


• Complete necessary correspondence for individual coverage billing and premium payments.


• Monitor assigned workflow queues and respond/complete within determined turnaround time.


• Research and resolve inquiries from individual members and Agents.


• Interact with internal and external departments to resolve issues and complete priority requests.


• Monitor paid to dates and reconciles invoice balances; document each contact using the specified BCN inquiry tracking system.


• Process ACH Authorization requests. Setup, update and/or remove individual member banking information per member requests.


• Initiate and/or monitor the cancellation process for direct billed subscribers for premium non-payment and/or voluntary cancellations.


• Identify member APTC and/or eligibility discrepancies and escalate to appropriate person and/or department for resolution.


• Process check by phone payments upon request or those received in office.


• Analyze and identify potential problems and/or risks by offering process improvement and/or training solutions.


• Follow Attendance, and Adherence expectations related to the Accounts Receivable Department Protocols.


• Other duties may be assigned.

• Associates degree or two (2) years of full time college credits in business related discipline required.


• Knowledge of basic accounting and audit principals (GAAP) required.


• Two (2) years of cash applications, reconciliation, or financial analysis experience required.


• Excellent, verbal, written, interpersonal and customer service skills required.


• Knowledge of customer service techniques.


• Professional servicing skills required.


• High degree of complex evaluative, analytical, and problem solving skills required.


• Excellent organizational and time management skills with the ability to handle multiple projects and timelines, while working under minimal supervision required.


• Knowledge of department system screens directly related to subscriber payments (billing entity, billing summary, receipt history, subscriber family and rating screens) required.


• Knowledge of Microsoft Office Suite software required.


• Knowledge of underwriting principles and billing procedures preferred.


• Knowledge of NHCR and CMS guidelines preferred.


• Working knowledge of call center operations and ability to handle calls at varying capacities.


• Sound knowledge of BCN certificates and riders, in conjunction with eligibility, preferred.


• Working knowledge of eBilling preferred.