Billing & Enrollment Specialist - Healthcare

Intermountain Healthcare Inc.; Las Vegas (NV); On-site; USD 31,000 - 47,000; Full time

Job summary

SelectHealth - Nevada is seeking a Premium Billing Specialist to deliver frontline support for billing and enrollment inquiries via phone and chat. You will guide customers, handle payments, and ensure accurate data entry while maintaining confidentiality and regulatory compliance.

The role emphasizes collaboration with internal teams, adherence to policies, and achievement of performance metrics in a fast-paced healthcare environment in Las Vegas, NV.

Qualifications

• Proven experience in a customer-facing role, preferably in healthcare or insurance.
• Strong proficiency in CRM systems and data entry, with attention to detail.
• Excellent communication and interpersonal skills across multiple channels.
• Demonstrated ability to multi-task, prioritize, and manage time in a fast-paced environment.
• Effective problem-solving skills and ability to remain calm under pressure.

Responsibilities

• Provide exceptional customer support to Select Health Individual members through inbound calls and live chat.
• Coordinate with employer group representatives to reconcile basic account adjustments and facilitate accurate payment processing.
• Respond to inquiries and provide clear guidance on billing, enrollment, and account-related processes.
• Partner with internal departments to troubleshoot and resolve billing and enrollment concerns.
• Process member payments in accordance with established financial controls and compliance protocols.
• Assist members and agents in navigating enrollment platforms and accessing documentation while ensuring data privacy and regulatory compliance.
• Maintain accurate and detailed records of customer interactions and account updates.
• Evaluate member accounts to determine reinstatement eligibility and calculate outstanding payment requirements.
• Review and validate reinstatement requests to ensure accuracy and compliance with standards.
• Adhere to internal policies and state/federal regulatory requirements.
• Consistently meet or exceed performance metrics including productivity, accuracy, and customer satisfaction.

Skills

Professional Phone Communication

Health Plan Eligibility Knowledge

Secure Payment Processing

Accounts Receivable

Written and Verbal Communication

Data Privacy and Confidentiality

Documentation and Recordkeeping

Digital Literacy and System Navigation

Typing Speed and Accuracy

Proficiency in Microsoft Office Suite

Stress Management and Resilience

Task Prioritization

Active Listening Techniques

Time and Workflow Management

Tools

CRM systems

Job description

SelectHealth - Nevada is seeking a Premium Billing Specialist to deliver frontline support for billing and enrollment inquiries via phone and chat. You will guide customers, handle payments, and ensure accurate data entry while maintaining confidentiality and regulatory compliance.

The role emphasizes collaboration with internal teams, adherence to policies, and achievement of performance metrics in a fast-paced healthcare environment in Las Vegas, NV.