Remote Membership & Billing Specialist II

Premera Blue Cross; Colorado; Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Commuter perks

Free on-site parking

Subsidized on-campus cafes

Fitness & well-being center

On-site activities

Tuition assistance

Job summary

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

The position supports financial risk management and member satisfaction. Responsibilities include identifying and documenting discrepancies, applying contracts, processing

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 of experience as Membership Analyst I or in a Premera position with reconciliation experience is required.
• Health or insurance industry experience is preferred.
• Associates or Bachelor’s degree in accounting/finance is preferred.

Responsibilities

• Identify, resolve and document complex reconciliation discrepancies; process refunds and premium transfers.
• Validate accounts receivable by detailed reconciliation of premiums and membership.
• Use Excel/Access and reconciliation tools to update eligibility, enrollment and reconciliation data.
• Meet department metrics for production and quality; stay current with policies and procedures.
• Educate members, brokers, or groups on enrollment and billing processes and portal usage.

Skills

Accounting/finance

Reconciliation

Education

High School diploma or GED

Associate’s degree in accounting/finance (preferred)

Tools

Excel

Access

Job description

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

The position supports financial risk management and member satisfaction. Responsibilities include identifying and documenting discrepancies, applying contracts, processing