Auditor, Membership I

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Job description

Duties

Responsible for auditing group (small/large/complex) accounts to ensure premium payments and/or reimbursements are processed/reported in timely/accurate manner. Audits subscriber accounts to ensure premium payments are within grace period.

Resolves billing/payment problems, adjudicates insufficient and/or incorrect payments back to subscribers. May serve as primary contact with group regarding monthly reporting activities.

25% Prepares monthly activity reporting for groups. •15% Audits large and complex accounts. •15% Prepares deposits of subscriber payments. •15% Processes check runs and writes member checks to cut reimbursements to subscribers. •15% Resolves discrepancies noted from controllers. •10% Processes refunds to subscribers. •5% Responds accurately and timely to internal/external customers with regard to reporting and processing of premium payments and reimbursements.

Skills and Abilities:

Good judgment skills.

Effective customer service, organizational, problem solving skills.

Demonstrated verbal and written communication skills.

Analytical or critical thinking skills.

Required Skills:

ORGANIZATION SKILLS

EXCELLENT VERBAL AND WRITTEN COMMUNICATION SKILLS

ACCOUNTING

AUDITING

Additional

BILLING

PAYMENTS

CUSTOMER SERVICE

CUSTOMER SERVICE ORIENTED

PROBLEM SOLVING

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