Premium Billing and Enrollment Coordinator

Marshfield Clinic Health System; Marshfield (WI); On-site; USD 22,000 - 35,000; Full time

Benefits offered by this job

Health insurance

401(k) retirement plan

Paid time off

Job summary

Sanford Health in Marshfield, WI is seeking a Premium Billing and Enrollment Coordinator to ensure timely and accurate maintenance of enrollments and billing per contracts, member certificates, and regulations. This role handles daily enrollment tasks, investigates discrepancies, and provides clear information to internal teams and members.

The position requires strong communication skills, proficiency in Microsoft Office, and a commitment to confidentiality.

Qualifications

• High school diploma is required.
• Experience in health insurance or similar industry including enrollment and eligibility preferred.

Responsibilities

• Maintain enrollments and billing processes accurately and timely.
• Research and resolve enrollment and billing variances.
• Communicate with internal departments and clients regarding enrollment procedures and eligibility inquiries.
• Process and mail letters to members and support customer service responsibilities.

Education

High school diploma

2 years experience in health insurance or similar industry

Tools

Microsoft Office

Job description

Careers With Purpose

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Facility: Marsh Security Hlth Plan

Location: Marshfield, WI

Address: 1515 N St Joseph Ave, Marshfield, WI 54449, USA

Shift: 8 Hours - Day Shifts

Job Schedule: Full time

Weekly Hours: 40.00

Salary Range: $16.00 - $25.50

Department Details: Flexibility for work hours for those personal life events.

Job Summary: The Premium Billing and Enrollment Coordinator is responsible for the timely and accurate maintenance of enrollments and the billing processes in accordance with contracts, member certificates and regulatory entities. Responsible for the daily process of the individual and business enrollments ensuring they are entered timely and accurately and that all required documentation is received. Research and resolve billing variances to maintain system accuracy. Handle questions, issues and provide detailed information on requirements to our internal and external customers. Responsible for billing processes in accordance with contracts, member certificates and regulatory entities. Responsible for daily ad hoc discrepancy reports. Process and mail letters to our members for various reasons and other duties as assigned. Must be detail oriented with the ability to investigate and problem solve. Relies on experiences to recognize enrollment and eligibility discrepancies. Must be able to effectively communicate, verbally and written, with internal departments and clients/members regarding enrollment processes and procedures, eligibility inquires and verification of data. Demonstrates analytical ability in processing electronic enrollment files. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgment in determining best methods of solving problems. Maintains a positive and professional relationship with internal staff, clients, members and vendors. Maintains confidentiality. Must have complete knowledge and skills with ability to be fully proficient in an administrative area, knowledge and understanding of different markets. Solid technical skills (Microsoft Office), strong written and verbal communication skills, strong drive for results and accountability, ability to work in a team environment, demonstrates attention to detail, strong drive for results and accountability, skilled in problem identification and resolution, exceptional judgement and decision-making abilities, maintains current billing processes and ensure accuracy of member's accounts, provides exceptional customer service to clients promptly and accurately, maintains confidentiality.

Qualifications:

• High school diploma, or equivalent required
• 2 years experience in health insurance or similar industry including enrollment and eligibility preferred.

Benefits:

• Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .
• Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [e-mail] .
• Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0270613

Job Function: Customer Support Services

Featured: No