Remote Membership & Billing Reconciliation Specialist II

Premera Blue Cross; Orangeburg (SC); Remote; USD 42,000 - 62,000; Full time

Job summary

Premera Blue Cross seeks a Membership Specialist II to perform moderate to complex reconciliation analyses and enrollment reconciliations. You will resolve billing issues, process refunds, and help maintain accurate notes and records across AR and enrollment systems.

You will use Access and Excel to support eligibility updates and contract interpretation, while meeting department metrics and regulatory requirements. This role is telecommuter with a 7am–5pm PT window.

Qualifications

• High School diploma or GED required.
• Two years of 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 independently.
• Process refunds, transfers of premiums, reinstatements, and insufficient fund issues.
• Maintain accurate notes and update eligibility/enrollment records.
• Validate accounts receivable by detailed reconciliation of premiums and membership.
• Use Excel/Access reports to aid enrollment and reconciliation.

Skills

Reconciliation

Excel

Access

Attention to detail

Education

High School diploma or GED

Associate’s degree in accounting/finance/bookkeeping

Tools

Access

Excel

Job description

Premera Blue Cross seeks a Membership Specialist II to perform moderate to complex reconciliation analyses and enrollment reconciliations. You will resolve billing issues, process refunds, and help maintain accurate notes and records across AR and enrollment systems.

You will use Access and Excel to support eligibility updates and contract interpretation, while meeting department metrics and regulatory requirements. This role is telecommuter with a 7am–5pm PT window.