Remote Membership & Billing Reconciliation Specialist II

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

Benefits offered by this job

On-campus resources

Job summary

Premera Blue Cross is recruiting a Membership Specialist II to perform reconciliation analysis and audit activities for individual or group accounts receivable, resolving enrollment and billing issues with minimal supervision. You will work within standard hours across Pacific/Mountain/Central time zones.

Responsibilities include complex discrepancy resolution, refunds, premium transfers, and coaching internal/external customers on contractual guidelines while maintaining thorough notes and

Qualifications

• High School diploma or GED (Required).
• Two years of accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance (Required).
• One year prior experience as Membership Analyst I or in a Premera position with reconciliation experience (Required).

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies independently; process refunds, transfers of premiums, reinstatements, and FdA issues.
• Validate accounts receivable by detailed reconciliation and audit of group or individual premiums and membership.
• Use Access or Excel and system reports to update eligibility, enrollment and reconciliation of accounts.
• Meet department metrics: production and quality standards; stay current on policies and procedures.
• Create written correspondence regarding billing and enrollment issues.

Skills

Reconciliation analysis

Excel proficiency

Attention to detail

Customer service

Education

Associate’s degree in accounting/finance

Bachelor’s degree in accounting/finance

Tools

Excel

Access

Billing systems

Job description

Premera Blue Cross is recruiting a Membership Specialist II to perform reconciliation analysis and audit activities for individual or group accounts receivable, resolving enrollment and billing issues with minimal supervision. You will work within standard hours across Pacific/Mountain/Central time zones.

Responsibilities include complex discrepancy resolution, refunds, premium transfers, and coaching internal/external customers on contractual guidelines while maintaining thorough notes and