Remote Membership & Billing Specialist

Premera Blue Cross

Madison (WI)

Remote

USD 42,000 - 71,000

Full time

7 days ago

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Benefits offered by this job

Medical coverage

Vision coverage

Dental coverage

401K match

Pension plan

Wellness resources

Paid time off

Tuition assistance

On-site parking

Commuter perks

Job summary

Premera Blue Cross is seeking a Membership Specialist II to perform complex reconciliation analysis and audit activities for individual or group accounts receivable. You will resolve enrollment, reconciliation, and billing issues, coach customers on guidelines, and help manage financial risk while supporting member satisfaction.

This role requires working within Pacific/Mountain/Central Time Zones 7am–5pm PT.

Qualifications

High School diploma or GED.
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.
Associates or Bachelor’s degree in accounting/finance.

Responsibilities

Identify, resolve, and document complex reconciliation discrepancies independently.
Process refunds, transfers of premiums, reinstatements, and insufficient fund issues.
Validate accounts receivable by reconciling premiums and membership.
Use Excel/Access to update eligibility, enrollment, and reconciliation of accounts.
Meet department metrics for production and quality, stay current on policies and procedures.
Educate members, brokers, or groups on membership and billing processes.