Remote Membership & Billing Specialist

Premera Blue Cross; Lansing (MI); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

401K & pension plan

Tuition assistance

Generous paid time off

Job summary

Premera Blue Cross is seeking a Membership Specialist II to perform complex reconciliation and audit activities for Individual or Group accounts receivable. The role involves resolving enrollment, billing issues, and coaching internal/external customers on contractual guidelines.

This position is a telecommuter role across Pacific/Mountain/Central Time Zones, between 7am and 5pm PT. The candidate will analyze enrollment status, apply contract provisions, educate members and brokers, and ensure

Qualifications

• Two (2) years of accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance/bookkeeping.
• One (1) year prior experience as Membership Analyst I or in a Premera position with reconciliation experience.
• Health or insurance industry experience.

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies, process refunds and transfers of premiums.
• Validate accounts receivable by detailed reconciliation and audit of premiums and memberships.
• Use system reports (Excel, Access) to update eligibility, enrollment and reconciliation.
• Meet department metrics and stay current on policies and procedures.
• Educate members, brokers or groups on memberships and billing processes.
• Communicate with clients/state agencies to resolve electronic feed issues.

Education

High School diploma or GED

Associate’s degree in accounting/finance

Bachelor’s degree in accounting/finance

Tools

Excel

Access

Job description

Premera Blue Cross is seeking a Membership Specialist II to perform complex reconciliation and audit activities for Individual or Group accounts receivable. The role involves resolving enrollment, billing issues, and coaching internal/external customers on contractual guidelines.

This position is a telecommuter role across Pacific/Mountain/Central Time Zones, between 7am and 5pm PT. The candidate will analyze enrollment status, apply contract provisions, educate members and brokers, and ensure