Membership Representative II

CareBridge; Tampa (FL); Remote; Full time

Job summary

A leading company is seeking a Membership Representative II to provide exceptional customer service and manage enrollment processes. This virtual role requires strong communication skills and a background in healthcare customer service. The position offers flexibility with occasional in-person training. Join us to make a significant impact on our members' experiences.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Stock purchase

401k contributions

Qualifications

• Minimum 1 year relevant healthcare customer servicing experience.
• Must have 1 year membership experience with the company.

Responsibilities

• Responds to incoming calls and provides customer service.
• Verifies enrollment status and maintains enrollment database.
• Ensures accuracy and timeliness of membership and billing functions.

Skills

Customer Service

Enrollment Processes

Education

H.S. diploma or GED

Job description

Join to apply for the Membership Representative II role at CareBridge.

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This range is provided by CareBridge. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$18.05/hr - $25.08/hr

Location

This is a virtual position with virtual training required for the first 4 - 6 weeks. You must be willing to travel to Elevance Health office location once a quarter (or more when designated) to be considered.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Work Schedule: 8:00 am - 5:00 pm, EST from Tuesday - Saturday (off Sunday and Monday).

The Membership Rep II is responsible for enrollment, billing activities and/or maintaining assigned accounts.

How you will make an impact

• Must be able to successfully perform all the duties of the Membership Rep I.
• Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers, and employer groups by answering benefit questions, resolving issues, and educating callers.
• Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail.
• May be responsible for billing and delinquency processes for assigned groups.
• Ensures accuracy and timeliness of the membership and billing functions.
• Responds to inquiries concerning enrollment processes. Maintains enrollment database.
• May order identification cards. Determines eligibility and applies contract language for each case assigned.
• Performs error output resolution for electronic eligibility and processes error discrepancy lists.
• Maintains and reconciles premium bill, self-bill, and individual billed accounts.
• Notifies clients of premium discrepancies through payment adjustment notices and detailed audits.
• Screens all forms and data for paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits.
• Makes requests to Underwriting, Sales, or Brokers for missing information and/or forms needed for new group or re-class of existing group.
• May be responsible for loading rates for new groups and renewal/re-class groups within the appropriate system.
• Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Minimum Requirements

Requires H.S. diploma or GED and a minimum of 1 year relevant healthcare customer servicing experience which includes a minimum of 1 year membership experience with the company; or any combination of education and experience which would provide an equivalent background.

For candidates working in person or virtually in Nevada, the salary range for this position is $18.05 to $25.08.

Additional Information

Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, stock purchase, and 401k contributions (subject to eligibility). The salary offered is based on legitimate, non-discriminatory factors and may vary based on location, experience, education, and skill level.

Elevance Health is an Equal Employment Opportunity employer and considers all qualified applicants without regard to protected categories. Applicants requiring accommodations may contact [e-mail].