Settlements Analyst I (Hybrid)

Settlements Analyst I (Hybrid) in Baltimore, MD - CareFirst

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Settlements Analyst I (Hybrid)

Job ID: 22750

Job Function: Finance & Accounting

Location: Baltimore, MD

Office: Canton Crossing

Career Band: BDA

Status: Full-Time

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Resp & Qualifications

PURPOSE:

The Settlement Analyst is an entry level position responsible for the invoicing and accounts receivable activities for groups with special funding arrangements comprising of administrative services only (ASO) including specific and / or aggregate stop loss.

ESSENTIAL FUNCTIONS:

• Prepare (weekly/monthly/annual) claim settlements associated with special funding arrangements for assigned accounts, including submission of required reporting within the time frame. Provide assistance to technical support staff and management in the resolution of issues that may impact timely client invoice/payment notification and/or client submission of funds to fulfill funding arrangements. Prepare the annual Employee Retirement Income Security Act (ERISA), Form 5500, Schedule C, and ensure timely account distribution.
• Provide support to the month end accounting close through the accurate and timely analysis of settlement activity. Accurately apply cash receipts to the appropriate client invoices and analyze the respective balances. Complete journal entries to the general ledger for financial reporting.
• Provide customer service to internal and external customers including explaining all invoice items, and answering questions about account balances.
• Participate in special projects aimed at process improvements and/or enhancement of existing business practices including those internal to the Settlements department, and those that may impact other departments (e.g. Finance, Underwriting). Work closely with teammates to share information and ideas, problem solve and motivate peers.

QUALIFICATIONS:

Education Level: Bachelor''s Degree in Accounting, Business Administration, Finance or related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Preferred Qualifications:

• Experience in accounting, billing and/or bookkeeping.

Knowledge, Skills and Abilities (KSAs)

• Ability to work independently and as part of a team. Willing to put in extra effort to get the job done.
• Attention to detail and excellent analytical and problem-solving skills.
• Excellent interpersonal skills including the ability to build consensus and agreement and bring issues to resolution.
• Strong organizational skills. including the ability to set priorities and handle multiple tasks concurrently.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $47,880 - $95,095

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate''s work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case''s facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Renewal 100-999 MD

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-CB1

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Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or generic information.

Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. To comply with this law, CareFirst must collect information regarding an employee's identity and employment eligibility and document that information on a document referred to as Form I-9, Employment Eligibility Verification, no later than three business days from when the employee begins work for pay. If you are hired, you will be required to provide certain information on the form necessary to establish your identity and eligibility to work in the United States and certain required supporting documents.

If you experience any technical difficulties during this process, please send an email detailing the specific problem you are having to careers@carefirst.com and we will respond as soon as possible.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) If you believe that you have experienced discrimination, contact OFCCP at 800-397-6251 (TTY 877-889-5627) or www.dol.gov/ofccp.

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