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Accounting Operations Analyst

BCBS of Michigan Group
Lansing, MI Other
POSTED ON 1/19/2025
AVAILABLE BEFORE 3/19/2025

SUMMARY:

This job is primarily responsible for Enterprise-wide cash receipts, and uncollectible processes. This position requires working in several billing, receivable and ancillary systems that require manual intervention due to complexity of systems and products underwritten by the Enterprise. Supports financial reporting via multi-entity ledger entries and daily reconciliation of cash and receivable transactions. Responsible for providing accurate and consistent services regarding premium and/or non-premium payment transaction activity, uncollectible transactions, and other ad hoc requests. Contacts include various employees of the Enterprise, medical facilities, other insurance companies, NCCI and legal representatives.

PRIMARY RESPONSIBILITIES:

· Maintains an in-depth knowledge of Enterprise billing, policy, claim, dividend and commission structures, Enterprise systems, and applicable regulatory requirements and cash management.

· This position requires working in several billing, receivable and ancillary systems that require substantial manual efforts due to system limitations or complexity of products underwritten by the Enterprise.

· Prepares multi-entity journal entries from Enterprise system reports, including but not limited to, premium receivables, small deductibles, agency receivables, write-offs, claims, miscellaneous cash, and refunds.

· Independently researches issues related to cash receipts, makes appropriate inter-company fund transfers or corrections. Makes independent general ledger correcting entries when deemed necessary.

· Completes daily reconciliation of cash receipts from multiple sources against receivable reports from various Enterprise and ancillary systems.

· Balances, validates, and posts incoming cash remittances and other receivable-based transactions to various billing and ancillary systems for the Enterprise, including but not limited to, premium receipts, and miscellaneous income.

· Completes all premium write-off requests for the Enterprise. Reviews requests and ensures proper authorization before completing requests.

· Researches and identifies NSF and returned ACH payments. Applies fees as necessary.

· Prepares, balances, and performs check deposits for the Enterprise.

· Responds to internal and external customer requests via telephone, written or electronic correspondence. Ad hoc correspondence is drafted to address complaints or requests for information, including but not limited to, reconciliation of premium payments, uncollectible balances, and commission receivables and payables.

· Maintains confidentiality of information processed.

· Processes pay by phone transactions.

· Completes ad-hoc projects as assigned by management.

· Assists with inquires for internal and external audit requests.

· Supports various system implementations or upgrades, as necessary.

· Reviews and provides feedback on job or department related documentation.

EMPLOYMENT QUALIFICATIONS:

A. EDUCATION REQUIRED:

High school diploma or G.E.D. Minimum of an Associate Degree in Accounting, Finance, or related field. Combinations of relevant education and work experience may be considered in lieu of credit hours.

B. EXPERIENCE REQUIRED:

Minimum of one year experience in accounts receivable, general ledgers and financial reporting systems or equivalent work which provides the necessary skills, knowledge, and abilities.

OR

Bachelor’s degree in Accounting or Finance

C. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Accounting Operations Analyst

· Basic knowledge of financial reporting, including journal entries, general ledger accounts and cost center structures.

· Ability to analyze details of policy billing and payment data and, based on this analysis, make efficient and effective independent decisions within authority.

· Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.

· Basic Knowledge of insurance operations. Specifically, as they pertain to state specific requirements.

· Excellent math skills with the ability to use a ten-key adding machine.

· Ability to accurately interpret and analyze data.

· Ability to process transactions on multiple processing systems.

· Ability to use diplomacy, discretion and appropriate judgment when addressing internal and external customers.

· Ability to manage multiple priorities and meet established deadlines.

· Ability to proofread documents for accuracy of calculations.

· Excellent organizational skills and ability to prioritize work to meet strict deadlines.

· Excellent oral and written communication skills.

· Excellent analytical and problem-solving skills.

· Knowledge of computers and ability to enter alpha/numeric data accurately.

· Knowledge of word processing software.

· Basic knowledge of database software.

· Advanced knowledge of spreadsheet software.

· Ability to effectively exchange information clearly and concisely, reports facts and other information and respond to questions as appropriate.

· Knowledge of general ledger, policy, and claim processing systems.

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

· Bachelor’s degree in Accounting, Finance or Business.

· Knowledge of departmental procedures, workflows, and systems.

· Insurance education coursework.

· Knowledge and experience of policy processing, claim and financial reporting systems.

WORKING CONDITIONS:

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

REQUIRED TESTING: (For HR use only)

Math, 10-key data entry, alpha-numeric data entry, Intermediate Word, Advanced Excel, Intermediate Windows, Proofreading, Reading Comprehension.

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