Remote Enrollment Quality & Compliance Specialist

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

Benefits offered by this job

Commuter perks

On-site parking

Cafés & dining on campus

Fitness center

Tuition assistance

Employee recognition program

Job summary

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to perform enrollment, eligibility, and billing changes with strong customer service across phone, email, and written communications.

The role supports audits, procedures, and efficiency initiatives within a hybrid/telecommuter setting, with a focus on regulatory compliance and cross-functional collaboration.

Qualifications

• Two years of accounting/finance or enrollment processing experience.
• High School diploma or GED required.
• Associate’s degree in accounting preferred.
• Health or insurance industry experience preferred.

Responsibilities

• Review plan provisions and apply enrollment rules following state and federal guidelines.
• Provide technical support to teams and implementation partners on processing and system issues.
• Research complex systems issues impacting member eligibility and determine actions.
• Conduct performance audits to ensure transaction accuracy and timeliness; propose improvements.
• Collaborate with cross-functional teams and external customers as needed.
• Educate agents and members on enrollment and billing processes and regulations.

Skills

Customer service

Enrollment processing

Audits

Regulatory guidelines

Education

High School diploma

Associate's degree in accounting

Job description

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to perform enrollment, eligibility, and billing changes with strong customer service across phone, email, and written communications.

The role supports audits, procedures, and efficiency initiatives within a hybrid/telecommuter setting, with a focus on regulatory compliance and cross-functional collaboration.