Account Clk I at Blue Cross Blue Shield of Michigan in Detroit, Michigan

Job Description:

Shift – Mon-Fri Flex start between 7a-8:30a, Core Hours 8:30a-5p

Site/Location: RenCen - Tower 600

Status – Regular Full Time

This is a training level position aimed at acquiring the necessary skills and knowledge required to review enrollment and supporting documentation and decide to approve or deny the application based on applicable policy. Establishes, updates and maintains both subscriber and group records via direct input and/or manual transactions.  Sends standard correspondences.

Successful completion of the first 90 days (quality/attendance/production etc.) will result in advancement to the Account Clerk II position.

• Review documentation to determine eligibility and review and approve, reject, or pend enrollment applications.


• Performs routine contract maintenance and/or billing updates in applicable system.


• Processes and clears transactions/write‑offs and output reports.


• Maintains files.


• Meets established quality and productivity standards.


• Responds appropriately and timely to telephone and written inquiries.


• Accurate self-reporting of daily activities.


• Perform other related duties as assigned.

QUALIFICATIONS

• High school graduate or GED equivalent is required.


• Oral and written communication skills necessary to communicate with subscribers, accounts, or other departments in a clear, concise and tactful manner.


• Demonstrated ability to apply policies and procedures to resolve basic enrollment, membership and billing requests with minimum assistance.


• Ability to demonstrate effective verbal and written communication with subscribers, accounts, etc. in a clear, concise and tactful manner.


• Manual dexterity and visual accuracy are needed to access and interpret computer records via PC, along with basic math skills in reconciling accounts.


• Must have computer skills.


• Proficient in current industry standard PC applications with ability to access and interpret data.


• Demonstrated knowledge and application of the policies, practices and procedures related to billing and membership record changes for individuals and groups as obtained through the M&B Training Program.


• Knowledge of Association Performance Standards (MTM).


• Knowledge of Industry driven regulations and guidelines.


• Ability to comprehend, interpret and apply the policies, practices, and procedures related to billing and membership record changes that are learned through formal and on‑the‑job training. 


• In addition, the technical knowledge must be acquired through successful completion of the ninety (90) day M/B Training Program.


• Other related skills and/or abilities are required to perform this job.