Remote Membership Billing & Reconciliation Specialist II

Premera Blue Cross; California City (CA); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical coverage

Pet insurance

Life & disability insurance

401(k) & pension

Wellness program

Paid time off

Tuition assistance

Employee recognition

Job summary

Premera Blue Cross is seeking a Membership Specialist II in the Pacific/Mountain/Central Time Zones, working 7am–5pm PT hours. You will perform complex reconciliation and enrollment tasks, resolve billing issues, and support members and brokers with contract interpretation and portal usage.

You will gain experience in complex billing processes, improve analytical skills, and work with Excel, Access, and reconciliation tools while contributing to regulatory compliance and customer satisfaction.

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 and transfers.
• Validate accounts receivable by detailed reconciliation of group or individual premiums and memberships.
• Use Access or Excel reports to update eligibility, enrollment and/or reconciliation of accounts.
• Meet or exceed department metrics for production and quality; 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 promptly to member/broker/internal inquiries.

Skills

Reconciliation

Audit

Excel

Communication

Education

High School diploma or GED

Associate’s or Bachelor’s degree in accounting/finance

Tools

Access

Excel

Job description

Premera Blue Cross is seeking a Membership Specialist II in the Pacific/Mountain/Central Time Zones, working 7am–5pm PT hours. You will perform complex reconciliation and enrollment tasks, resolve billing issues, and support members and brokers with contract interpretation and portal usage.

You will gain experience in complex billing processes, improve analytical skills, and work with Excel, Access, and reconciliation tools while contributing to regulatory compliance and customer satisfaction.