Job Information
Blue KC Membership Account Associate I in United States
Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:
Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
Annual incentive bonus plan based on company achievement of goals
Time away from work including paid holidays, paid time off and volunteer time off
Professional development courses, mentorship opportunities, and tuition reimbursement program
Paid parental leave and adoption leave with adoption financial assistance
Employee discount program
Job Description Summary:
This role is primarily responsible for the timely and accurate setup, maintenance, billing and accounts receivable management for a portfolio of customer accounts. In doing so, this role works as part of a cohesive team dedicated to providing a level of service that consistently meets or exceeds customer expectations.
Job Description
Uses knowledge of company software tools (e.g., Facets, automated work distribution system, etc.) as well as relevant Federal and State regulations and/or company business rules to process member eligibility and billing related updates received electronically or via written correspondence.
Maintain individual member and or group level accounts by processing, for example, refunds or discretionary billing requests transactions timely in order to keep receivable and payable accounts current.
Consistent with established standards, complete assigned work timely and accurately.
Follows and applies written instructions from established Standard Operating Procedures (SOPs), Start-up notes, remote and in-person training.
Identifies non-routine eligibility and billing problems or process gaps and escalates to leadership timely to help resolve.
Closely monitors assigned work and proactively keeps management apprised of processing issues or backlogs, as well as other related concerns.
Proactively engages group contacts in an effort to strengthen the customer experience and resolve any issues in a timely manner.
Conducts group training sessions with aid of a senior team member.
Maintains group AR tracking and properly communicates delinquency issues to management.
Minimum Qualifications
Associates level degree or combination of equivalent work experience.
2 years’ experience in one or more of the following areas: data reconciliation, member eligibility reconciliation, financial or account management reconciliation.
Experience composing correspondence, reading and interpreting documents
Experience dealing with and researching complex customer issues with successful resolution
3 years of previous customer service, member services, or claims processing experience; or any combination of required education and experience.
Experience entering data quickly and accurately over a sustained period of time
Intermediate knowledge of Microsoft Windows
Intermediate level of skill with Microsoft Word and Excel
Experience applying mathematical concepts to practical situations
Preferred Qualifications
- Bachelor's degree
Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.
At Blue Cross and Blue Shield of Kansas City (Blue KC), we have long put our members first by developing products and services to meet their needs. From our founding in 1938 to more than 80 years of experience in innovative, patient-centered healthcare coverage, Blue KC continues to keep our members at the center of everything we do. As a market leader, we continue to embrace new ideas to make healthcare more affordable and to improve the customer experience. Come join us!
Blue Cross and Blue Shield of Kansas City will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully utilize electronic and online job application systems. For assistance, please send an email to Recruitingteam@bluekc.com .
EOE/M/F/Vets/Disability
Affirmative Action Employer
Equal Opportunity Employer
Know Your Rights: Workplace Discrimination is Illegal (https://www.dol.gov/sites/dolgov/files/OFCCP/regs/compliance/posters/pdf/22-088_EEOC_KnowYourRights.pdf)
E-Verify Participation
Equal Employment Opportunity/Nondiscrimination/Affirmative Action Policies (https://bluekcmemberportal.azureedge.net/pdf/2024/EEO-Policy-2024.pdf)
IER Right to Work
FMLA (https://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf)
Pay Transparency
Employee Polygraph Protection Act (https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf)