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Health Care Service Corporation Accountant I in Helena, Montana

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
Performs review and updates of the department's internal request portal, tracking information related to each type of request, and sending the appropriate follow up email communication to the requestor.

Investigates group level credit requests. Arranges meetings with appropriate departments to discuss root cause of errors and remediation steps. Ensures corrective actions are taken prior to issuing credits to clients.

Reviews submitted misquotes for accuracy, ensures the form has been completed, sends the adjustment response, confirm the adjustment and amount have been made and are correct within BlueChip, and updates request portal.

Creates and updates A/R credit processing files daily and ensures month end closing processes are completed.

Processes and handles return mail, transactions in the RIDS' (Rebate Inquiry Distribution System) post issuance work flow and reissues MLR payments within the RIDS application.

Receives written customer inquiries regarding COBRA coverage and legislation. Researches and responds to telephone and written inquiries in a prompt, accurate and objective manner.

Prepares, reviews, reconciles and researches COBRA premiums collected on a monthly basis; verifying over/under payments to include monitoring and processing COBRA notifications and applications on BlueStar and BARS.

Creates simple journal entry and monthly reconciliation.

Participates in UAT testing as requested.

Identifies processing improvements and creates or updates policies and procedures on a timely basis.

Performs ad-hoc duties as assigned.

1.Reviews and processes monthly billing and settlement statements for fully insured and ASO accounts.
\*Reviews monthly account bills to make sure they're accurate. Researches problems, determines whether a correction or system change is needed, and resolves the problems.
\*If required, downloads billing information and converts to customized Word or Excel billing formats for weekly, bi-weekly, and semi-monthly wire request customers.
\*If necessary, completes draw down paperwork required by the Treasury.
\*Reviews monthly Customer Statement Packages for accuracy, and corrects variances. Creates a payment journal for account balancing.
2.Track payments and delinquencies
\*Verifies payments are received and escalates missed payments to Marketing or initiates collection requests in accordance with corporate delinquency policy. Prepares quarterly reports for upper management with explanations and status of all delinquent accounts.
\*Reclassifies payment months as necessary to align payments with bills, and adjusts receivables as necessary (for example, for stop loss adjustments); creates appropriate account reconciliations.
3.Monitor paid claims exception reports, determines the reason for each exception and takes appropriate action to clear all exceptions. Reviews, verifies, and/or updates all billing data and documentation for each account's annual renewal or as needed.
4.Test system changes that affect billing and settlements.
5.Provide information for auditors, for management review.
6.Communicate and interact effectively and professionally with co-workers, management, customers, etc.
7.Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
8.Maintain complete confidentiality of company business.
9.Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
\*Bachelor Degree in Accounting, Finance or Management OR 4 years accounting experience.
\*Knowledge of basic accounting.
\*MS Office and Access.
\*Experience with Financial Systems.
\*Statistical data analysis.
\*Good grammar, clear, concise communication with appropriate word choice.
\*Customer service experience.
\*1 year experience Account reconciliation experience.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

BCBSTX complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.