Remote Membership Billing & Enrollment Specialist

Premera Blue Cross; Iowa Center (IA); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K employer match

Pension plan

Tuition assistance

Paid time off

Wellness programs

Job summary

Premera Blue Cross is a national health insurance provider offering a telecommuter role as Membership Specialist II. The position focuses on complex reconciliation, enrollment changes, and premium handling for individual or group accounts within a flexible remote framework.

Use Excel/Access to support audits, document discrepancies, and coach stakeholders on billing policies to ensure accuracy and regulatory compliance. The role emphasizes collaboration and timely issue resolution.

Qualifications

• High School diploma or GED required.
• Two years accounting/finance/bookkeeping experience or an Associate’s degree in accounting/finance/bookkeeping required.
• One 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; process refunds, transfers of premiums, reinstatements, and insufficient fund issues.
• Validate accounts receivable by detailed reconciliation and audit of premiums and membership.
• Use Access or Excel to update eligibility, enrollment and reconciliation of accounts.
• Meet department metrics for production and quality; stay current on policies and procedures.
• Educate members, brokers, or groups on billing processes and enrollment issues.
• Respond promptly to member/broker inquiries and applicable department communications.

Skills

Reconciliation experience

Health/insurance industry experience

Financial awareness

Education

High School diploma or GED

Two years accounting/finance/bookkeeping experience

Associates or Bachelor’s degree in accounting/finance

Job description

Premera Blue Cross is a national health insurance provider offering a telecommuter role as Membership Specialist II. The position focuses on complex reconciliation, enrollment changes, and premium handling for individual or group accounts within a flexible remote framework.

Use Excel/Access to support audits, document discrepancies, and coach stakeholders on billing policies to ensure accuracy and regulatory compliance. The role emphasizes collaboration and timely issue resolution.