Remote Membership & Billing Specialist

Premera Blue Cross; Phoenix (AZ); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

Life and disability insurance

401K employer match

Tuition assistance

Job summary

Premera Blue Cross seeks a Membership Specialist II to perform moderate to complex reconciliation analysis and audit activities for Individual or Group accounts receivable. You will resolve enrollment, reconciliation and billing issues while coaching internal and external customers on contractual guidelines.

Work hours are Pacific/Mountain/Central Time Zones, between 7am and 5pm PT. You will identify discrepancies, update records, and assist with member education on billing and membership

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 (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 and reconciliation records.
• Educate members, brokers, or groups on membership and billing processes.
• Coordinate with internal/external partners and respond to enrollment rejections.
• Ensure compliance with federal and state regulations.

Skills

Accounting experience

Billing reconciliation

Reconciliation experience

Health/insurance industry experience

Education

High School diploma or GED

Associate’s degree in accounting/finance

Tools

Excel

Access

Job description

Premera Blue Cross seeks a Membership Specialist II to perform moderate to complex reconciliation analysis and audit activities for Individual or Group accounts receivable. You will resolve enrollment, reconciliation and billing issues while coaching internal and external customers on contractual guidelines.

Work hours are Pacific/Mountain/Central Time Zones, between 7am and 5pm PT. You will identify discrepancies, update records, and assist with member education on billing and membership