Remote Membership Billing Analyst II

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

Benefits offered by this job

Medical, vision, and dental coverage

401K with company match

Pension plan

Tuition assistance

Wellness programs

Paid time off

Job summary

Premera Blue Cross is seeking a detail‑oriented Membership Specialist II to perform complex reconciliation and enrollment tasks for Individual or Group accounts. You will resolve billing issues, ensure accurate records, and coach internal and external customers on contractual guidelines.

This role supports critical financial risk management and customer satisfaction across the health plan. Hybrid work with standard business hours in Pacific time zones is available.

Qualifications

• High School diploma or GED. (Required)
• Two (2) years of recent accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance/bookkeeping. (Required)
• One (1) year prior experience as Membership Analyst I or in a Premera position with reconciliation experience. (Required)
• Health or insurance industry experience. (Preferred)
• Associates or Bachelor’s degree in accounting/finance. (Preferred)

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies independently, processing refunds, transfers of premiums, reinstatements, and insufficient fund issues.
• Validate appropriate accounts receivable by auditing premiums and membership of moderate to complex difficulty.
• Utilize Access or Excel to update eligibility, enrollment and reconciliation of accounts.
• Meet or exceed department metrics: production and quality standards and stay current on policies.
• Create written correspondence regarding billing and enrollment issues.
• Educate members, brokers, or groups on membership and billing processes, portal usage and contract interpretation.
• Respond to clients or state agencies to resolve electronic feed and web entry issues.

Skills

Accounting/finance experience

Reconciliation experience

Data accuracy

Education

High School diploma or GED

Associate's or Bachelor's in accounting/finance

Job description

Premera Blue Cross is seeking a detail‑oriented Membership Specialist II to perform complex reconciliation and enrollment tasks for Individual or Group accounts. You will resolve billing issues, ensure accurate records, and coach internal and external customers on contractual guidelines.

This role supports critical financial risk management and customer satisfaction across the health plan. Hybrid work with standard business hours in Pacific time zones is available.