Enrollment & Billing Representative

Health-One-Alliance,-LLC; Dalton (GA); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

401K (4% Match)

Health Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Flexible Spending Account

Job summary

HealthOne in Dalton, GA is seeking an Enrollment & Billing Representative to handle enrollment and billing for individual and group health plans. You will process enrollments from paper, email, fax, and electronic sources, and maintain accurate records.

The role requires 1–3 years of experience, familiarity with HIPAA, and solid Microsoft Excel/Word skills. You will answer inquiries, resolve billing issues, and ensure timely payments while upholding our commitment to compassionate, compliant

Qualifications

• High School Diploma or Equivalent. College coursework in business or health administration preferred.
• 1–3 years of general work experience; health plan knowledge preferred.
• Familiarity with insurance terms; intermediate Excel/Word skills.

Responsibilities

• Process enrollments from paper, email, fax, and electronic sources (834).
• Process billing, invoices, adjustments, and payments for members.
• Handle terminations for non-payment per policy.
• Respond to appeals and enrollment/billing queries; maintain records.
• Maintain HIPAA compliance and professional conduct.

Skills

Microsoft Excel

Microsoft Word

Education

High School Diploma or Equivalent

Tools

Excel

Word

Job description

MISSION Our mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors. VALUES HealthOne is guided by a cultural framework that embodies our values and drives our decisions. Our PURPOSE is to care for people by connecting them to resources that help protect them in health related situations. To fulfill our purpose, we align our PRIORITIES to ensure each decision we make is ethical, empathetic, economical, and efficient. We care for PEOPLE by being welcoming, authentic, truthful, consistent and humble. We are continuously looking for ways to improve our PROCESS and how we get things done. HealthOne seeks individuals with integrity and heart to embody our values. Whether you’re starting your career or looking to develop additional skills to reach your full potential, HealthOne provides the means to help you achieve your goals. JOB PURPOSE The Enrollment & Billing Representative is responsible for the accurate enrollment and billing processes for individual and group health insurance policies, ancillary insurance policies and the administration of Health Reimbursement Arrangements. Maintains related documents, updates corresponding records and is responsible for responding to enrollment and billing queries based on defined policies and procedures.ESSENTIAL JOB DUTIES Processes enrollments from a variety of sources, including paper enrollment, emailed and faxed enrollments, and electronic (834) enrollments Processes billing, invoices, invoice corrections, and payments for individual, group, and ancillary plan members Processes terminations for non-payment according to Company policies and procedures Researches and responds to appeals, HICS tickets, DOI complaints, and other grievances related to eligibility, enrollment, and billing Uses defined process and procedures to update and reconcile enrollment and billing data Responds to questions and concerns from internal and external parties Researches and resolves basic enrollment and billing related issues Maintain regular and predictable attendance Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice Works to encourage and promote Company culture throughout the organization Regular and predictable attendance Other duties as may be assigned QUALIFICATIONS High School Diploma or Equivalent. College coursework in business, health administration or related field preferred One to three years’ general work experience Minimum of one year of health plan experience preferred Familiarity with insurance terms and concepts Intermediate skill with Microsoft Excel and Word PHYSICAL REQUIREMENTS Prolonged periods of sitting at a desk and working on a computer. Moderate to significant amount of stress in meeting deadlines and dealing with day-to-day responsibilities. Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match, Immediate Vesting) Accident insurance Competitive salary Critical Illness Insurance Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program Health Savings Account Life & AD&D Insurance Long Term Disability Medical Insurance Paid Time Off Pet Insurance Short Term Disability Vision Insurance PRE-EMPLOYMENT SCREENING Drug Screen and Background Check Required HEALTHONE IS AN EQUAL OPPORTUNITY EMPLOYER All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, disability, sex, age, ethnic or national origin, marital status, sexual orientation, gender identity or presentation, pregnancy, genetics, veteran status, or any other status protected by state or federal law.