Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Job Summary:

Job Responsibilities:

• Maintain accurate accounting sub ledgers for the tracking of advance deposits, receivables, aging of contingent receivables, claims, retention, broker commission, interest charges, high level pooling charges and related billing accounts. Generate reports from NMS, ASO Console, and Access databases and shares the reports with Finance for reconciliation against the General Leader (GL). Variances are investigated by the billing team.
• Implement Plan collection procedures including the preparation of delinquent notices; arranges Group suspensions and/or terminations for non-payment to expedite premium payment or correct invalid transactions that caused the delinquency. Ensures timely payments are made by the Groups and make the appropriate contacts with Groups to ensure prompt payments. Escalate missed and delinquent payments to management timely to ensure payments are made promptly or so that a resolution can be made with the Group to resolve any payment discrepancies. Enforce the Plan Collection policy on delinquent accounts.
• Responsible for payment application and allocations; prepares schedules to track receivables, advance deposits and contract settlements. Assists in the preparation of routine and non-routine journal entries, reallocations and other adjustment transactions for financial month end close.
• Identify and resolve discrepancies and errors associated with billings, receipts and disbursements. Ensure all discrepancies are tracked to closure.
• Respond to inquiries and questions regarding Minimum Premium and Cost Plus billings, conducts research and resolves issues while maintaining strong relations with the Groups.
• Maintain sub schedules per Group to reflect monthly account balances.
• Prepare reconciliations, analysis and various reports in order to account for status. Balance all related accounts to the GL and provide explanation for variances to the GL. Make adjustments as necessary.
• Meet with Groups to explain the billings and work with them to resolve any issues.

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Education/Experience:

• High School Diploma/GED required.
• Bachelor degree preferred or relevant experience in lieu of degree.
• Requires a minimum of 1-2 years of billing and client management experience or a relevant field.

Knowledge:

• Strong knowledge in Access and Excel.
• General knowledge of other Microsoft products is a plus

Skills and Abilities:

• Strong attention to detail

Salary Range:

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.