Remote Membership Administrator: Billing & Eligibility

Cambia Health Solutions; Salt Lake City (UT); On-site; USD 25,000 - 37,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off and holidays

401(k) with company match

Parental leave up to 12 weeks

Wellness programs

Job summary

Cambia Health Solutions is hiring for a Membership Administrator to manage enrollment, eligibility, and billing while delivering clear customer service across diverse accounts. The role supports compliance with guidelines and coordinates with employers, carriers, and CMS to ensure accurate processing and timely payments.

A detail-focused, independent worker will thrive. Remote work options are offered; candidates should have strong math, MS Office proficiency, and good communication skills to

Qualifications

• High School diploma or GED required.
• 1 year of accounts receivable or customer billing experience.
• Equivalent combination of education and related work experience.

Responsibilities

• Process and maintain enrollment applications, including eligibility data, effective dates, benefits, and member information in accordance with employer/individual contracts.
• Review accounts for completeness, identify missing information, and coordinate with employers, agents, and carriers to complete processing.
• Generate, review, and reconcile individual and group billings, ensuring accuracy and timely cash processing in line with corporate standards.
• Provide customer service to internal and external customers through written correspondence and phone, making necessary corrections as needed.
• Monitor and pursue aged accounts, apply underwriting and governmental guidelines, and ensure compliance with federal, state, BCBSA, and accreditation regulations.
• Order and audit member cards, research documentation, and coordinate electronic data transfers with outside entities such as CMS, employer groups, and vendors.
• Support team operations through training participation, testing assistance, clerical tasks, and staff backup as needed.

Skills

Typing speed

MS Office

Math skills

AI tools

Time management

Communication

Relationship building

Education

High School diploma or GED

Tools

Word

Excel

Outlook

Job description

Cambia Health Solutions is hiring for a Membership Administrator to manage enrollment, eligibility, and billing while delivering clear customer service across diverse accounts. The role supports compliance with guidelines and coordinates with employers, carriers, and CMS to ensure accurate processing and timely payments.

A detail-focused, independent worker will thrive. Remote work options are offered; candidates should have strong math, MS Office proficiency, and good communication skills to