Remote Enrollment Quality & Compliance Specialist

Premera Blue Cross; Montana; Remote; USD 42,000 - 62,000; Full time

Job summary

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist in a telecommuter role. You'll perform enrollment, eligibility, billing changes, and audits across plans, ensuring regulatory compliance and high-quality member service.

You'll support internal and external customers by researching issues, updating procedures, and coordinating with partners. A college credential in accounting or related field and prior enrollment processing experience are preferred.

Qualifications

• High School diploma or GED.
• Minimum of two years accounting/finance/bookkeeping or enrollment processing experience.
• Associate’s degree in accounting preferred.

Responsibilities

• Review plan provisions and apply enrollment rules per guidelines.
• Provide technical support to teams on processing issues.
• Research complex systems issues affecting member eligibility.
• Conduct performance audits to ensure compliance and efficiency.
• Educate agents and members on membership and billing processes.
• Assist in audits and improvements for partner training.

Skills

Accounting/Finance

Customer Service

Enrollment Processing

Education

High School diploma

Associate’s degree in accounting

Job description

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist in a telecommuter role. You'll perform enrollment, eligibility, billing changes, and audits across plans, ensuring regulatory compliance and high-quality member service.

You'll support internal and external customers by researching issues, updating procedures, and coordinating with partners. A college credential in accounting or related field and prior enrollment processing experience are preferred.