Auditor, Membership

Internal Reference Number: R1048767

Summary:

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

This position is full-time (40 hours per week), with regular work hours from 8:30 AM to 5:00 PM, located onsite at 4101 Percival Road, Columbia, SC 29229.

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

• Required Education
  :
  Associate's degree.
• Degree Equivalency
  : 2 years of job-related work experience.
• Required Work Experience
  : 1 year of experience in accounting, audit/compliance, or a combination of these.
• Required
  
  Skills and Abilities
  
  :
  Good judgment skills; effective customer service, organizational, and problem‑solving skills; demonstrated verbal and written communication skills; analytical or critical thinking skills.
• Required Software and Tools
  :
  Microsoft Office.

• Preferred Education
  :
  Associate degree in Accounting.
• Preferred Software and Other Tools
  :
  Knowledge of computer and reporting systems and files—membership, billing, accounting; additional systems such as AMMS, Cobra, retiree software; knowledge of underwriting rules/regulations, benefit structures, contracts.
• Preferred Software and Other Tools
  :
  Working knowledge of Microsoft Access or other database software.
• Work Environment
  :
  Typical office environment.

• 401(k) retirement savings plan with company match.
• Subsidized health plans and free vision coverage.
• Life insurance.
• Paid annual leave – the longer you work here, the more you earn.
• Nine paid holidays.
• On‑site cafeterias and fitness centers in major locations.
• Wellness programs and healthy lifestyle premium discount.
• Tuition assistance.
• Service recognition.
• Incentive Plan.
• Merit Plan.
• Continuing education funds for additional certifications and certification renewal.

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

Blue Cross Blue Shield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans.

It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy‑related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email  or call , ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case‑by‑case basis.

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