Enrollment QA & Compliance Specialist

Premera Blue Cross; Iowa City (IA); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical, vision, dental

401K with company match

Pension plan after 3 years

Tuition assistance

On-site parking

Fitness & wellness center

On-site activities

Job summary

Premera Blue Cross in Iowa City seeks an Enrollment Oversight and Quality Specialist to handle enrollment, eligibility, billing changes, and reconciliation. You will research complex issues, educate members and agents, and participate in audits and efficiency initiatives with internal teams and strategic partners.

The role requires strong customer service, regulatory understanding, and collaboration across departments, with a shift covering early mornings and occasional late shifts.

Qualifications

• Minimum two years in accounting/finance or enrollment processing.
• Excellent customer service and communication skills.
• Experience with enrollment, eligibility, billing and reconciliation.
• Healthcare or insurance industry experience preferred.

Responsibilities

• Perform enrollment, eligibility, billing changes and reconciliation.
• Research complex issues and provide solutions to members/agents.
• Participate in audits, procedures, and efficiency projects.
• Support strategic partners with audits and information requests.
• Educate agents and members on enrollment and billing processes.
• Meet department production and quality standards.

Skills

Customer service

Communication

Audit & reconciliation

Enrollment processing

Regulatory knowledge

Problem solving

Cross-functional teamwork

Education

High School diploma or GED

Job description

Premera Blue Cross in Iowa City seeks an Enrollment Oversight and Quality Specialist to handle enrollment, eligibility, billing changes, and reconciliation. You will research complex issues, educate members and agents, and participate in audits and efficiency initiatives with internal teams and strategic partners.

The role requires strong customer service, regulatory understanding, and collaboration across departments, with a shift covering early mornings and occasional late shifts.