Membership Administrator I

Cambia Health Solutions, Inc.; Washington, Northern (UT, KY); Hybrid; USD 25,000 - 37,000; Full time

Benefits offered by this job

Medical benefits

Paid time off

401(k) retirement plan

Work from home

Job summary

Cambia Health Solutions, Inc. is seeking a Membership Administrator I, working remotely in the US with focus on enrollment, billing, and customer service. You will process eligibility data, review accounts for completeness, reconcile billings, and support policy applications.

Ideal candidates have a High School diploma or GED and some AR/billing experience. Strong math, MS Office proficiency, and clear communication are essential for success in this role.

Qualifications

• High School diploma or GED is required.
• 1 year accounts receivable or customer billing experience preferred.
• Equivalent combination of education and related work experience.

Responsibilities

• Process and maintain enrollment applications with eligibility data and member information.
• Review accounts for completeness and coordinate to finish processing.
• Generate, review and reconcile billings and ensure timely cash processing.

Skills

Typing 30 WPM

MS Word/Excel/Outlook

Strong math skills

AI tools experience

Independent worker

Communication skills

Relationship building

Education

High School diploma or GED

1 year AR or billing experience

Tools

Microsoft Office Suite

Job description

Membership Administrator I

Work from home within Oregon, Washington, Idaho or Utah.

Who We Are Looking For:

Every day, Cambia’s dedicated team of Membership Administrators is living our mission to make health care easier and lives better. As a member of the Membership team, our Membership Administrators establish and maintain eligibility, bill premiums, reconcile discrepancies, pursue aged accounts, and provide customer service for Individual, Group, Government Programs, COBRA, and Flexible Spending business – all in service of creating an economically sustainable health care system.

What You Bring to Cambia:

Qualifications:

• High School diploma or GED
• 1 year of accounts receivable or customer billing experience
• Equivalent combination of education and related work experience

Skills and Attributes:

• Typing at 30 WPM with 95% accuracy; 10-key by touch preferred (8,500 keystrokes/hour)
• Proficiency in Microsoft Word, Excel, and Outlook or comparable software
• Strong math skills with the ability to perform calculations and solve problems effectively
• Experience with AI tools to enhance productivity and decision-making is highly desired
• Ability to coordinate, prioritize, and manage work independently with a self-motivated approach
• Strong written and verbal communication skills
• Ability to build effective working relationships while exercising sound judgment and discretion

What You Will Do at Cambia:

• Process and maintain enrollment applications, including eligibility data, effective dates, benefits, and member information in accordance with employer/individual contracts
• Review accounts for completeness, identify missing information, and coordinate with employers, agents, and carriers to complete processing
• Generate, review, and reconcile individual and group billings, ensuring accuracy and timely cash processing in line with corporate standards
• Provide customer service to internal and external customers through written correspondence and phone, making necessary corrections as needed
• Monitor and pursue aged accounts, apply underwriting and governmental guidelines, and ensure compliance with federal, state, BCBSA, and accreditation regulations
• Order and audit member cards, research documentation, and coordinate electronic data transfers with outside entities such as CMS, employer groups, and vendors
• Support team operations through training participation, testing assistance, clerical tasks, and staff backup as needed

#LI-Remote

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.

Location

Oregon, Washington, Utah, and Idaho.

Salary

Oregon, Washington, Utah, and Idaho: The expected hiring range is $18.25 - $23.00 an hour, the full salary range is $18.25 - $27.20 an hour, and the bonus target is 5%.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law.

A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail].

Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Everyone is a health care consumer deserving of a simpler, more personalized experience. Cambia is transforming the health care system to revolve around people.

For over 100 years we’ve designed people-first health solutions rooted in the nation’s first health plan, a loggers’ wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit BlueCross and BlueShield licensed health plans serving over 3 million Americans.

Cambia blends data science with a compassionate human perspective to anticipate people’s needs, and empower them to make smarter health care choices.

Interested in driving accessibility, affordability and quality health care for real people?