Job Details

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

About the Role

This position is responsible for the billing of Minimum Premium and Cost Plus groups on a daily, weekly and monthly basis, as well as all the accounting associated with the posting of payments and maintenance of related General Ledger input. This position is also responsible for preparing invoices and using pc-based software such as spreadsheets and /or databases to research and compile data.

What You'll Do

• Responsible for timely preparation, analysis, completion and mailing of Minimum Premium and Self Insured invoices, including compilation of claims and traditional bills with contract counts on a daily, weekly and monthly basis.
  
• Maintains accurate accounting sub ledgers for the tracking of advance deposits, receivables, contingent receivables, claims, retention, broker commission, interest charges, high level pooling charges and related billing accounts.
  
• Implements Plan collection procedures including the preparation of delinquent notices; arranges group suspensions and/or termination's for non-payment to expedite premium payment or correct invalid transactions which caused the delinquency.
  
• Applies all payments and prepares schedules tracking receivables, advance deposits and contract settlements.
  
• Assists in the preparation of routine and non-routine journal entries, reallocations, and other general ledger adjustments transaction.
  
• Identify and resolves discrepancies and errors associated with the proper billings, receipts and disbursements.
  
• Answers phone inquiries and questions regarding Minimum Premium and Cost Plus billings while maintaining strong relations with the external clientele.
  
• Ensure timely payments are made by the groups and make the appropriate contacts to assure prompt payments including enforcement of the Plan collection policy on delinquent accounts.
  
• Maintain sub schedules per group to reflect monthly account balances.
  
• Prepare reconciliation's, analysis and various reports in order to show the status of the accounts.
  
• Balance all related accounts to the General Ledger, and recommend improvements to the current system.
  
• When required, determines need for development of specialized accounting procedures consistent with general acceptable accounting principles
  
• Visit accounts to explain the billings and resolve problems.
  
• Assist in ensuring good harmony in relation to workload and accountabilities in order to meet deadlines and department/division objectives.
  
• Perform Special projects as required by management.
  

What You Bring

Education/Experience:

• Requires a four (4) year college degree, preferably in a finance related major. Degree must include 15 hours of accounting.
  
• Familiarity with G.A.A.P. required.
  

Knowledge:

• Requires knowledge of accounting analysis.
  
• Requires advanced knowledge of personal computers and related software. (Excel, Word)
  
• Requires knowledge of mainframe applications.
  
• Prefers knowledge of rating and underwriting concepts and terminology.
  
• PeopleSoft general ledger module would be a plus.
  

Skills and Abilities:

• Requires strong analytical skills.
  
• Requires technical skills to be used to create cost accounting schedules to be used by external clients as well as financial reporting
  
• Requires strong communication and presentation skills.
  
• Requires the ability to research and resolve problems through interaction with companywide personnel.
  
• The employer may require an employee to pass a test(s) as part of determining whether the applicant meets the minimum qualifications for the job.
  

Why Horizon?

At Horizon, you'll do meaningful work that directly improves lives-while being supported by a mission-driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we'd love to hear from you!

Salary Range:
$50,274 - $66,852

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)
  
• Retirement Plans
  
• Generous PTO
  
• Incentive Plans
  
• Wellness Programs
  
• Paid Volunteer Time Off
  
• Tuition Reimbursement
  

Disclaimer:

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.