Enrollment Quality Assurance Specialist

Premera Blue Cross; Provo (UT); Sur place; USD 42 000 - 64 000; Plein temps

Avantages offerts par ce poste

Medical, vision, dental coverage

401K employer match

Pension plan

Tuition assistance

On-site parking

Well-being center

Team engagement events

Résumé du poste

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to perform enrollment, eligibility, billing changes and reconciliation across multiple systems and platforms. The role emphasizes exceptional customer service and timely, professional communication with members, agents, and internal teams.

Responsibilities include conducting audits, developing procedures, and tracking action plans with implementation partners, while supporting standard operating procedures and

Qualifications

• High School diploma or GED required.
• 2 years accounting/finance/bookkeeping or enrollment processing experience.
• Health or insurance industry experience preferred.
• Expertise in complex enrollment, eligibility, billing, and reconciliation processes.

Responsabilités

• Perform moderate to complex enrollment, eligibility, billing changes and reconciliation and account research.
• Develop, maintain and track related audits, procedures, and efficiency work.
• Support business operations across teams and with strategic implementation partners.
• Conduct performance audits to ensure transaction compliance, accuracy and timeliness and identify improvements.
• Educate agents and members on enrollment rules and billing processes; explain guidelines.

Connaissances

Customer service

Attention to detail

Enrollment processing

Auditing / quality improvement

Formation

High School diploma or GED

Description du poste

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to perform enrollment, eligibility, billing changes and reconciliation across multiple systems and platforms. The role emphasizes exceptional customer service and timely, professional communication with members, agents, and internal teams.

Responsibilities include conducting audits, developing procedures, and tracking action plans with implementation partners, while supporting standard operating procedures and