Membership Administrator I - III, DOE

Cambia Health Solutions; Vancouver (WA); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a purpose-driven team dedicated to transforming health care. As a Membership Administrator, you'll play a vital role in ensuring member eligibility and providing exceptional customer service. This position offers a unique opportunity to thrive in a collaborative environment while contributing to a sustainable health care system. With competitive pay and generous benefits, you’ll be part of a supportive culture that values innovation and compassion. If you're looking for a career that makes a difference, this role is perfect for you.

Benefits

Medical, Dental, and Vision Coverage

401(k) with Company Match

Paid Time Off

Wellness Programs

Employee Assistance Fund

Commute and Parking Benefits

Flexible Work from Home Options

Qualifications

• High School diploma or GED required.
• 1 year accounts receivable or customer billing experience preferred.

Responsibilities

• Process enrollment applications and maintain account changes.
• Provide customer service through written correspondence and phone inquiries.
• Perform eligibility and reconciliation tasks accurately and timely.

Skills

Typing Skills

10-key by touch

PC Experience (Word, Excel, Outlook)

Strong Math Skills

Problem Solving

Work Coordination

Communication Skills

Relationship Building

Education

High School Diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Membership Administrator I – III, DOE

Work from home within Oregon, Washington, or Idaho

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia’s dedicated team of Membership Administrators are living our mission to make health care easier and lives better. As a member of the Customer & Member Services Operations team, our Membership Administrator establishes and maintains eligibility, bills premium, reconciles cash and member discrepancies, pursues aged accounts and provides eligibility and billing-related customer service for Individual, Group, Government Programs, Cobra and Flexible Spending business.

Do you thrive as a part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

The Membership Administrator I would have a High School diploma or GED and one-year accounts receivable or customer billing experience or an equivalent combination of education and job-related work experience.

The Membership Administrator II would have a High School diploma or GED and one year experience asMembership Administrator I performing all duties at the Core or higher performance level or an equivalent combination of education and job-related work experience.

The Membership Administrator III would have a High School diploma or GED and 18 months as a Membership Administrator II performing at the Core or higher performance level or an equivalent combination of education and job-related work experience.

Skills and Attributes:

• 30 wpm with 95% accuracy typing skills.

• 10-key by touch (8500 keystrokes per hour with 95% accuracy preferred).

• PC experience – Word, Excel and Outlook – or comparable software – and ability to learn and use complex systems.

• Strong math skills (mathematical calculations and concepts), judgment and other resources to implement effective problem solving.

• Ability to coordinate and prioritize work.

• Must be diligent and self-motivated.

• Must be conscientious and maintain attendance at or above departmental standards.

• Ability to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.

• Ability to communicate effectively both orally and in writing.

• Ability to establish effective working relationships with staff and customers

What You Will Do at Cambia:

• Process enrollment applications for individuals and groups, calculating eligibility data, effective dates, and entering member information consistent with contracts.

• Review and maintain account changes including effective dates, additions/deletions of members, and verify information through calls to employers, subscribers, or carriers as needed.

• Provide customer service through written correspondence and phone inquiries, making necessary corrections while ensuring member confidentiality.

• Perform eligibility and reconciliation tasks accurately and timely, including generating and reviewing billings, processing cash, and monitoring aged accounts to meet corporate standards.

• Order and audit member cards for accuracy, including corporate logos, lines of business co-pay, PCP, and member card comments.

• Apply corporate underwriting guidelines, governmental regulations, and updated policies to ensure compliance with federal, state, BCBSA and accreditation requirements.

• Coordinate electronic data transfer with external entities including CMS, employer groups, agents, and vendors; assist with system testing as needed.

• Support team operations by providing phone coverage, assisting with clerical tasks, participating in training, and working overtime when required.

The expected hiring range for a Membership Administrator I is $17.75 - $20.60/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $17.75 - $26.80/hour.

The expected hiring range for a Membership Administrator II is $17.75 - $22.20/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $17.75 - $28.90/hour.

The expected hiring range for a Membership Administrator III is $19.00 - $26.40/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $19.00 - $34.40/hour.

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?

At Cambia, you can:

• 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.

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• 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.

Learn more about our 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.

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 .