Remote Membership Billing Specialist II

Premera Blue Cross; Arkansas City (KS); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K employer match and pension plan

Paid time off

Job summary

Premera Blue Cross is seeking a Membership Specialist II to perform complex reconciliation analysis and audits for Individual or Group accounts receivable. The role involves resolving enrollment, billing issues, and maintaining thorough notes while working within standard procedures.

This position supports financial risk management and member satisfaction. Responsibilities include processing refunds, premium transfers, reinstatements, and handling insufficient fund issues; utilizing systems to

Qualifications

• High School diploma or GED is required.
• Two years of accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance/bookkeeping is required.
• One year prior experience as Membership Analyst I or in a Premera position with reconciliation experience is required.
• Health or insurance industry experience preferred.
• Associates or Bachelor’s degree in accounting/finance preferred.

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 membership.
• Use Excel/Access to update eligibility, enrollment and reconciliation of accounts.
• Meet department metrics for production and quality; stay current on policies/procedures.
• Educate members, brokers, or groups on membership and billing processes.

Skills

Analytical skills

Communication

Problem solving

Education

Two years accounting/finance/bookkeeping experience

Associate’s or Bachelor’s in accounting/finance

Tools

Excel

Access

Job description

Premera Blue Cross is seeking a Membership Specialist II to perform complex reconciliation analysis and audits for Individual or Group accounts receivable. The role involves resolving enrollment, billing issues, and maintaining thorough notes while working within standard procedures.

This position supports financial risk management and member satisfaction. Responsibilities include processing refunds, premium transfers, reinstatements, and handling insufficient fund issues; utilizing systems to