Billing Experience Specialist at Blue Cross… · Remote

Summary: Blue Cross and Blue Shield of Minnesota is committed to transforming healthcare and is seeking a Billing Experience Specialist to join their Membership Operations team. This role is essential for ensuring members have seamless access to healthcare by managing invoicing, payments, and providing support, thereby directly impacting member satisfaction and operational efficiency.

Responsibilities:
- Preparing client and member invoices, processing payments and reconciliations, and addressing data discrepancies to ensure financial accuracy
- Navigating complex data, extracting critical insights from various systems, and applying current business, accounting, banking, and regulatory guidelines
- Ensuring client and member invoicing remains accurate by working on inquiries and reports, meticulously researching, analyzing, and promptly resolving and documenting any issues
- Conducting research on multiple systems to determine appropriate resolutions for customer inquiries and disruptions, while simultaneously identifying discrepancies
- Providing exceptional customer service through both phone and written communication channels, ensuring prompt and professional assistance to both internal and external customers, in alignment with departmental performance expectations
- Following standard business practices to ensure Protected Health Information (PHI) is secure and fully understanding state and federal mandates to ensure Health Plan compliance
- Recognizing and communicating opportunities for improving workflows and escalating any issues to ensure increased efficiency and accuracy
- Understanding and adhering to processes and procedures for multiple lines of business
- Collaborating with team members, vendors, and cross-functional departments to resolve inquiries timely and accurately
- Participating in meetings with internal contacts and account representatives, fostering valuable relationships and staying up to date on account status
- Serving as a subject matter expert by providing guidance and support to the team, vendors, and our customers
- Readily taking on other duties assigned with enthusiasm and dedication
- Performs additional responsibilities consistent with the scope and level of the role, as assigned

Required Qualifications:
- 1+ years of related work experience
- High school diploma (or equivalent)

Preferred Qualifications:
- Proficient in Microsoft Office applications, particularly Excel, including spreadsheet management, and use of formulas
- Ability to communicate clearly with varied internal contacts, actively listen to clarify needs, and ensure accurate and timely information exchange
- Ability to recognize patterns in recurring issues, gather relevant information, and collaborate with others to implement practical solutions
- Ability to organize and prioritize tasks across assignments, manage time effectively, and adjust to shifting workloads while maintaining accuracy
- Health insurance experience and/or understanding of Medicaid and Medicare programs
- Experience with Billing, Finance, and/or Operations

Required Skills: Invoicing, Payment processing, Data reconciliation, Microsoft Excel, Health insurance knowledge, Medicaid, Medicare, Billing, Finance, Operations

Benefits: Medical, dental, and vision insurance, Life insurance, 401k, Paid Time Off (PTO), Volunteer Paid Time Off (VPTO), And more