Job Description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You'll Have

*Must reside in Minnesota to be eligible for this position*

As a Billing Experience Specialist, you are a crucial member of the Membership Operations team, responsible for ensuring that our members have seamless access to healthcare. You achieve this by administering timely and accurate invoicing, managing payments, and providing client and member support. Your contributions directly impact member satisfaction and the overall operational efficiency of our organization. The Billing Experience Specialist role is an exciting and rewarding career for individuals who are passionate about helping others and want to make a difference in peoples’ lives.

What You'll Do

• 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.

How You'll Do It

• 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 Skills & Experience

• 1+ years of related work experience
• High school diploma (or equivalent)

Preferred Skills & Experience

• 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.

Role Designation

Teleworker

Role designation definition:

• Teleworking is working full time remote.
• Hybrid is a minimum of 2 days onsite.
• Onsite is full-time onsite.

Compensation and Benefits

$21.50 - $24.59 - $29.51 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer, please review our benefits page

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Physical requirements.