Remote Membership & Billing Reconciliation Specialist II

Premera Blue Cross; Clayton (NC); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

401K employer match

Tuition assistance

On-site parking

Job summary

Premera Blue Cross is hiring a Membership Specialist II to perform moderate to complex reconciliations and audits of Individual or Group accounts receivable. The role supports enrollment, billing issues, and premium reconciliations, working within standard policies and remote hours in Pacific/Mountain/Central time zones.

Responsibilities include processing enrollments, changes, refunds, and communicating with members and brokers about billing and contract interpretations.

Qualifications

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

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies independently.
• Process refunds, transfers of premiums, reinstatements, and insufficient fund issues.
• Maintain notes and update eligibility/enrollment and reconciliation records.
• Educate members, brokers, or groups on membership and billing processes.

Skills

Accounting/Finance experience

Reconciliation

Excel

Access

Education

High School diploma or GED

Associate’s Degree in accounting/finance

Bachelor’s degree in accounting/finance (Preferred)

Tools

Excel

Access

Job description

Premera Blue Cross is hiring a Membership Specialist II to perform moderate to complex reconciliations and audits of Individual or Group accounts receivable. The role supports enrollment, billing issues, and premium reconciliations, working within standard policies and remote hours in Pacific/Mountain/Central time zones.

Responsibilities include processing enrollments, changes, refunds, and communicating with members and brokers about billing and contract interpretations.