Remote Membership Billing Specialist II

Premera Blue Cross; Athens (GA); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401K

Tuition assistance

Paid time off

Wellness programs

Job summary

Premera Blue Cross is recruiting a Membership Specialist II to perform complex enrollment, reconciliation and billing tasks within Individual or Group accounts receivable. This role emphasizes resolving issues, documenting findings, and coaching internal and external customers on contractual guidelines.

The position is telecommuter with hours aligned to Pacific/Mountain/Central time zones (7am–5pm PT). We are looking for a High School diploma or GED, 2 years of accounting/finance experience or

Qualifications

• High School diploma or GED. (Required)
• Two (2) years of recent accounting/finance/bookkeeping experience or an Associate’s Degree in accounting/finance/bookkeeping. (Required)
• One (1) year prior experience as Membership Analyst I or in a Premera position with reconciliation experience. (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, transfers of premiums, reinstatements, and insufficient fund issues.
• Update enrollment and eligibility changes using Access or Excel.
• Meet department metrics for production and quality.
• Educate members, brokers, or groups on enrollment and billing processes.

Skills

Reconciliation

Analytical thinking

Excel proficiency

Communication

Education

High school diploma or GED

Associate’s degree in accounting/finance

Bachelor’s degree in accounting/finance (preferred)

Tools

Access

Excel

Job description

Premera Blue Cross is recruiting a Membership Specialist II to perform complex enrollment, reconciliation and billing tasks within Individual or Group accounts receivable. This role emphasizes resolving issues, documenting findings, and coaching internal and external customers on contractual guidelines.

The position is telecommuter with hours aligned to Pacific/Mountain/Central time zones (7am–5pm PT). We are looking for a High School diploma or GED, 2 years of accounting/finance experience or