Full job description We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.
Grade 4 POSITION PURPOSE : This position is responsible for the daily processing of Individual/Group remittance premium and claim refund payments in which checks are deposited daily ensuring payments post to member's accounts accurately.
Accountable for complying with all laws and regulations associated with duties and responsibilities.
NATURE AND SCOPE : Position Location : This position reports to the Supervisor, Accounts Receivable.
Direct Reports :
This position has no reports.
Necessary Contacts :
In order to effectively fulfill this position, the incumbent must be in contact with:
Enrollment & Billing, Claims and Customer Service, district offices, financial institutions, healthcare facilities, and external customers as needed.
QUALIFICATIONS :
High school diploma or equivalent required. Associate degree in Accounting, Business, or business-related field preferred.
One year of accounts receivable or accounting experience preferred.
Strong mathematical and analytical reasoning skills are required.
Must be proficient in 10-key data entry. Working knowledge of Microsoft Word and Excel and other applications are required.
ACCOUNTABILITIES & ESSENTIAL FUNCTIONS :
Processes all premium and claim refund receipts received daily to meet the scheduled time frame for compiling, balancing, encoding and endorsing of all checks for bank deposits.
Responsible for ensuring that all premium receipts received daily through the bank lockbox process or electronic payment files are posted daily to Individual member/Group accounts accurately. Ensures that any receipts not posted are manually posted and deposited.
Assigns voucher numbers, process and deposit refund checks received from providers and members for Blue Benefit Services, Federal Employees Program, Interplan Teleprocessing Services, Office of Group Benefits and Special Claims.
Performs account research to obtain current or prior payment history of premium receipts for accurate information to reconcile each account.
Responsible for balancing claims refund, group and individual daily cash reports and cash tracking to maintain accuracy for daily bank deposits and to ensure correct premium allocation.
Operates the Opex Mail Extractor equipment for the sorting and manual extraction of mail to expedite the processing of daily group, individual premium and claim refund receipts.
The physical demands described here are representative of those that must be met by an employee to successfully perform the accountabilities (essential functions) of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend, document, calculate, visualize, and analyze are required
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An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
JOB CATEGORY: Finance
