Policy Billing Representative

Blue Cross Blue Shield of Michigan; Lansing (MI); On-site; USD 42,000 - 65,000; Full time

Job summary

Accident Fund Insurance Company of America is seeking a Payment Application Specialist to support billing for agents and policyholders. You will handle inquiries, process disbursements, and ensure accurate posting of payments across core systems.

The role requires 2 years of relevant AF Group experience or equivalent office billing/insurance background, strong communication, and attention to detail. This is a full-time, on-site position in Michigan.

Qualifications

• Two years AF Group as a Payment Application Specialist
• High school diploma or GED; Associate degree in Accounting/Finance or related field
• Four years of office experience with billing/insurance background, OR Bachelor's degree with one year billing/insurance experience

Responsibilities

• Answers inquiries from agents and policyholders regarding invoices and payments.
• Requests write offs to resolve small balances and NSF discrepancies.
• Initiates, reviews, and approves disbursements.
• Reconciles and troubleshoots accounts for accurate posting.
• Reviews policy cancellation and reinstatement transactions.

Skills

Billing knowledge

Customer service

Communication

Data entry

Multi-state knowledge

Education

Associate degree in Accounting

Bachelor's degree in Accounting/Finance

Tools

Billing systems

Spreadsheet software

Word processing

Alpha-numeric data entry

Job description

SUMMARY:
Primarily responsible for supporting the billing needs of agents and policyholders providing accurate and consistent services regarding invoice inquiries and premium transaction activity. Approve changes in accordance with billing rules and procedures in compliance with Accident Fund and/or bureau rules and regulations. Contacts include Service Center staff, Finance Department, Premium Audit Department, Claims Department, agents, and policyholders.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Answers inquiries from agents and policyholders regarding invoices, disbursements, payments, and other billing transactions.
• Requests write offs to resolve small balance and NSF fee discrepancies within guidelines.
• Initiates, reviews, and approves disbursements.
• Reconciles and troubleshoots accounts to clarify billing transactions and cash applications in order to provide customers with up-to-date account information/history.
• Reviews and processes policy cancellation transactions in accordance with state regulations and Enterprise guidelines
• Reviews, calculates, and processes reinstatements in accordance with state regulations and Enterprise guidelines.
• Manages reinstatement exception requests and approves exceptions within authority.
• Approves, processes and documents payment arrangements with customers on audit balances per guidelines.
• Processes pay by phone transactions to expedite posting of cash to insured's policy.
• Requests and/or processes money moves and credit distributions to ensure accurate posting of cash.
• Processes and documents any manual billing exceptions in accordance with the Enterprise guidelines.
• Provides High level account reconciliation for troubleshooting with multiple data points across multiple billing platforms.
• Review payments returned from the bank. Contact customers to resolve banking information issues to avoid cancellation or collections.
• Approve and process pay plan changes within authority.
• Process loss run requests as necessary.
• Prepares correspondence to communicate necessary information to agents and policyholders.
• Coordinates and resolves customer complaints, errors, and service issues, placing holds on certain billing functions when deemed necessary.
• Ensures payrolls are reported timely for all AccuPremium clients and takes necessary action if payrolls are not reported.
• Reviews and allocates collateral appropriately.
• Makes appropriate decisions based on interpretation of policies and procedures.
• Supports appropriate response to Bureau, NCCI, and internal and external audit inquiries.
• Participates in ad-hoc projects as assigned by management.
• Acts as a subject matter expert to support system implementations or upgrades, as necessary.
• Works with minimum supervision
• Maintains confidentiality of information processed.

EDUCATION AND EXPERIENCE
Relevant combination of education and experience may be considered in lieu of degree.
EDUCATION REQUIRED:
High school diploma or G.E.D. Minimum of an Associate's degree in Accounting, Finance, Business, or related field. Combinations of education and experience may be considered in lieu of a degree.

A.EXPERIENCE REQUIRED:
Two (2) years' experience with AF Group as a Payment Application Specialist

OR

Four (4) years general office experience including two (2) years of customer service with billing or insurance related experience; specifically, exchanging information over the phone, resolving complaints, and answering basic inquiries. A combination of insurance and financial experience may be considered.

OR

Bachelor's degree in Accounting, Finance, Business, or related field with one (1) year billing or insurance related experience; specifically, exchanging information over the phone, resolving complaints, and answering basic inquiries.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

B.OTHER SKILLS AND ABILITIES

• Ability to work effectively in a multi-functional, multi state business unit.
• Knowledge of state specific premium billing rules.
• Ability to accurately interpret and analyze premium billing data.
• Excellent oral and written communication skills.
• Excellent organizational skills and ability to prioritize work.
• Knowledge of bookkeeping and financial institution/EFT procedures.
• Strong understanding of Enterprise billing systems
• Strong customer service skills
• Ability to manage multiple priorities and meet established deadlines.
• Knowledge of computers.
• Basic knowledge of word processing.
• Basic knowledge of spreadsheet software.
• Strong analytical and problem-solving skills.
• Knowledge of multi-line telephone system.
• Ability to process transactions on core processing systems.
• Ability to enter alpha/numeric data accurately.
• Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.
• Excellent math skills with the ability to use a ten-key adding machine.

C.ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED:

• Successful completion of business writing course.

ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.

WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards.

Job Info

• Job Identification 14525
• Job Schedule Full time
• Legal Employer Accident Fund Insurance Company of America