Remote Enrollment Quality Specialist

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

Benefits offered by this job

Medical, vision, dental coverage

Tuition assistance

Paid time off

Job summary

Premera Blue Cross is hiring an Enrollment Oversight and Quality Specialist to handle moderate to complex enrollment, eligibility, billing changes, and audit coordination. You will explain regulatory guidelines, support strategic partners, and contribute to process improvements while maintaining high service standards.

The role requires availability for early start times within PT hours, cross-functional collaboration, and a focus on accuracy in enrollment and billing activities.

Qualifications

• Minimum of two years of accounting/finance, bookkeeping, or enrollment processing experience.
• High School diploma or GED is required.
• Associates degree in accounting is preferred.

Responsibilities

• Review plan provisions and apply enrollment rules per contracts, state and federal guidelines.
• Provide technical support to teams and implementation partners on processing issues.
• Research complex eligibility issues and determine appropriate actions for members and agents.
• Conduct performance audits to ensure accuracy and timeliness, and suggest improvements.
• Educate agents and members on membership and billing processes and regulations.

Skills

Customer service

Enrollment processing

Education

Associate7s degree in accounting (preferred)

High School diploma or GED

Job description

Premera Blue Cross is hiring an Enrollment Oversight and Quality Specialist to handle moderate to complex enrollment, eligibility, billing changes, and audit coordination. You will explain regulatory guidelines, support strategic partners, and contribute to process improvements while maintaining high service standards.

The role requires availability for early start times within PT hours, cross-functional collaboration, and a focus on accuracy in enrollment and billing activities.