Remote Membership Administrator — Enrollment & Billing

Cambia Health Solutions; Burlington (WA); On-site; USD 38,000 - 57,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401(k) with company match

Paid time off & holidays

Remote work options

Wellness programs

Employee Assistance Fund

Job summary

Cambia Health Solutions is seeking a detail-oriented Membership Administrator to support enrollment, billing, and member data processing. You will review accounts, coordinate with employers and carriers, and ensure accurate billing and timely cash processing.

You will provide customer service via email and phone, handle discrepancies, and assist with data transfers and regulatory compliance. This role supports team operations and requires independent work and strong communication skills.

Qualifications

• High School diploma or GED required.
• 1 year of accounts receivable or customer billing experience preferred.
• 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 30 WPM

MS Word

MS Excel

MS Outlook

Strong math skills

AI tools

Independent work

Written & verbal communication

Education

High School diploma or GED

Tools

Microsoft Word

Excel

Outlook

Job description

Cambia Health Solutions is seeking a detail-oriented Membership Administrator to support enrollment, billing, and member data processing. You will review accounts, coordinate with employers and carriers, and ensure accurate billing and timely cash processing.

You will provide customer service via email and phone, handle discrepancies, and assist with data transfers and regulatory compliance. This role supports team operations and requires independent work and strong communication skills.