Premium Billing and Enrollment Coordinator

Good Samaritan Society; Marshfield, Northern (WI, KY); Hybrid; USD 22,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) retirement plan

Job summary

Sanford Health in Marshfield, WI is seeking a Premium Billing and Enrollment Coordinator to manage timely enrollments and billing processes in line with contracts and regulatory requirements. You will resolve variances, respond to inquiries, and prepare communications to internal teams, members, and vendors.

The role requires strong attention to detail, analytical thinking, and proficiency with Microsoft Office.

Qualifications

• Must be detail oriented and able to investigate and solve problems.
• Communicate effectively with internal departments, clients, and vendors.
• Demonstrates analytical ability in processing enrollment and billing data.

Responsibilities

• Maintain enrollments and billing processes in accordance with contracts and regulatory entities.
• Process daily enrollment files and resolve variances to maintain system accuracy.
• Generate and mail letters to members and respond to inquiries from internal and external customers.
• Maintain confidentiality and provide exceptional customer service.

Skills

Attention to detail

Problem solving

Communication

Analytical ability

Team collaboration

Education

High school diploma or equivalent

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

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 judgement 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-0274989
Job Function: Customer Support Services
Featured: No