COBRA & Premium Billing Specialist I

Excellus BCBS; Town of De Witt (NY); On-site; USD 28,000 - 37,000; Full time

Job summary

Excellus BCBS is seeking a COBRA & Premium Billing Administrator who resolves inquiries from clients and subscribers and coordinates daily COBRA and Third-Party Premium Billing to meet regulatory standards. The role involves handling client reporting, enrollments, and rate renewals with a focus on accuracy and timely processing.

You will also manage file exchanges, coordinate carrier communications, and work with vendors to resolve billing issues, ensuring compliance with policies and

Qualifications

• High School diploma or equivalent; Associate degree preferred.
• 2+ years of related experience.
• Knowledge of COBRA rules and regulations preferred.
• General understanding of medical, dental, vision, and Medicare benefits.
• Excellent problem solving, reasoning, and organizational skills.
• PC experience including knowledge of Microsoft Word and Excel.
• Excellent oral and written communication skills.
• Ability to work in a team environment and independently.

Responsibilities

• Respond to client and broker inquiries and requests; schedule and deliver client reporting; process member refund requests; manage enrollment requests and payment status.
• Maintain knowledge of COBRA rules and regulations and ensure compliance in all activities.
• Assist in system testing, training, and troubleshooting; support client audits and data comparisons.
• Coordinate file exchanges and daily carrier files for member coverage changes and terminations.
• Collaborate with carriers and vendors to resolve file-related processing issues and ensure accurate billing.

Skills

Problem solving

Communication

Teamwork

Organizational skills

Education

High School diploma or equivalent

Associate degree preferred

Tools

Microsoft Word

Microsoft Excel

Job description

Excellus BCBS is seeking a COBRA & Premium Billing Administrator who resolves inquiries from clients and subscribers and coordinates daily COBRA and Third-Party Premium Billing to meet regulatory standards. The role involves handling client reporting, enrollments, and rate renewals with a focus on accuracy and timely processing.

You will also manage file exchanges, coordinate carrier communications, and work with vendors to resolve billing issues, ensuring compliance with policies and