Enrollment Quality & Compliance Specialist

Premera Blue Cross; Lansing (MI); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Medical, vision, dental coverage

401K with employer match

Pension plan after 3 years

Tuition assistance

On-site parking

Job summary

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to handle complex enrollment, eligibility, billing changes and reconciliation. You will support customers via phone, email or written correspondence and ensure timely, accurate processing with strong service levels.

The role requires auditing, training material updates, and collaboration with partners to enhance efficiency and regulatory compliance. Hybrid schedule and early morning coverage are possible.

Qualifications

• Two years of accounting/finance or enrollment processing experience.
• Excellent customer service and ability to explain complex rules.
• Experience with audits and process improvement.

Responsibilities

• Perform enrollment, eligibility, billing changes and reconciliation.
• Conduct audits and ensure compliance with guidelines.
• Educate members and agents on enrollment and billing processes.

Skills

Customer service

Enrollment processing

Audit and quality

Regulatory guidelines

Cross-functional teamwork

Education

High School diploma or GED

Tools

Microsoft Office

CRM systems

Job description

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to handle complex enrollment, eligibility, billing changes and reconciliation. You will support customers via phone, email or written correspondence and ensure timely, accurate processing with strong service levels.

The role requires auditing, training material updates, and collaboration with partners to enhance efficiency and regulatory compliance. Hybrid schedule and early morning coverage are possible.