Premium Billing Specialist

61000 SelectHealth Inc; Nevada; On-site; USD 31,000 - 47,000; Full time

Job summary

Intermountain Health in Nevada is hiring a Premium Billing Specialist to provide front-line support for Select Health Individual members and employer groups. The role handles billing and enrollment inquiries via phone and chat, guiding customers and ensuring accurate data entry while maintaining confidentiality and compliance.

This is an in-person position based in Las Vegas. You will process payments, assist members with enrollment platforms, and partner with internal teams to resolve billing

Qualifications

• Experience in a customer-facing role, preferably in healthcare or insurance.
• Strong CRM and data entry skills with attention to detail.
• Excellent communication across multiple channels.
• Ability to multi-task, prioritize, and manage time in fast-paced environment.
• Effective problem-solving skills and composure under pressure.

Responsibilities

• Provide exceptional customer support via inbound calls and live chat.
• Coordinate with employer groups to resolve basic account adjustments and payments.
• Respond to inquiries with guidance on billing and enrollment processes.
• Work with internal teams to troubleshoot billing and enrollment concerns.
• Process member payments following controls and compliance.
• Assist members in navigating enrollment platforms and documentation.
• Maintain detailed records of interactions and updates.
• Evaluate reinstatement eligibility and compute outstanding payments per policy.
• Review reinstatement requests for accuracy and completeness.
• Adhere to internal policies and regulatory requirements.
• Meet or exceed productivity, accuracy, and customer satisfaction metrics.

Skills

Professional Phone Communication

Health Plan Eligibility

Secure Payment Processing

Accounts Receivable

Written and Verbal Communication

Customer Experience Excellence

Data Privacy

Documentation and Recordkeeping

Digital Literacy

Typing Speed

Microsoft Office Suite

Stress Management

Time Management

Active Listening

Workflow Management

Tools

CRM Systems

Excel

Outlook

Teams

Job description

The Premium Billing Specialist provides front-line support to Select Health Individual members and employer groups by assisting with billing and enrollment inquiries through phone and other communication channels. This role utilizes a general understanding of processes and policy requirements to help collect documentation, guide customers, and ensure accurate data entry in designated systems. While handling payments and navigating enrollment systems, the specialist maintains confidentiality and adheres to compliance standards to deliver a dependable and customer-focused experience. In person position!

Essential Functions

• Provide exceptional customer support to Select Health Individual members through inbound calls and live chat.
• Coordinates with employer group representatives to reconcile basic account adjustments and facilitate accurate payment processing.
• Respond to inquiries and provide clear guidance on billing, enrollment, and account-related processes.
• Partner with internal departments to troubleshoot and resolve billing and enrollment concerns.
• Process member payments in accordance with established financial controls and compliance protocols.
• Assist members and agents in navigating enrollment platforms and accessing documentation while ensuring data privacy and regulatory compliance.
• Maintain accurate and detailed records of customer interactions and account updates.
• Evaluates member accounts to determine reinstatement eligibility and calculates outstanding payment requirements in alignment with billing policies and plan guidelines.
• Reviews and validates peer-submitted reinstatement requests to ensure accuracy, completeness, and alignment with established billing and enrollment standards.
• Adhere to internal policies and state/federal regulatory requirements.
• Consistently meet or exceed performance metrics including productivity, accuracy, and customer satisfaction.

Skills

• Professional Phone Communication
• Health Plan Eligibility Knowledge
• Secure Payment Processing
• Accounts Receivable
• Written and Verbal Communication
• Customer Experience Excellence
• Data Privacy and Confidentiality
• Documentation and Recordkeeping
• Digital Literacy and System Navigation
• Typing Speed and Accuracy
• Proficiency in Microsoft Office Suite (Excel, Outlook, Teams)
• Stress Management and Resilience
• Task Prioritization
• Active Listening Techniques
• Time and Workflow Management

Qualifications

Minimum Qualifications

• Proven experience in a customer-facing role, preferably in healthcare or insurance.
• Strong proficiency in CRM systems and data entry, with attention to detail.
• Excellent communication and interpersonal skills across multiple channels.
• Demonstrated ability to multi-task, prioritize, and manage time in a fast-paced environment.
• Effective problem-solving skills and ability to remain calm under pressure.

Preferred Qualifications

• Background in healthcare finance or enrollment operations, including AP/AR, eligibility verification, or payroll.
• Experience with process optimization and negotiation.
• Strong organizational and analytical skills, including data collection and reporting.

Physical Requirements

• Ability to read and interpret digital and printed materials, assess customer needs, and identify relevant tools and resources.
• Frequent verbal communication with team members and customers, requiring clear speech and active listening.
• Manual dexterity for computer use and equipment handling, including typing and navigating software platforms.

Location: SelectHealth - Nevada Work City: Las Vegas Work State: Nevada Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $22.39 - $34.06

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice. Thanks for your interest in continuing your career with our team!